2023-11-14T10:05:46-06:00 2022-12-31 135565207 KPMG LLP 4200 WELLS FARGO CTR 90 S 7TH STREET MINNEAPOLIS MN 55402 990 2022-01-01 410956618 REGIONS HOSPITAL REGI 9528836000 8170 33RD AVENUE SOUTH PO BOX 1309 MINNEAPOLIS MN 554401309 MEGAN REMARK PRESIDENT 9528836000 2023-11-14 1 MEGAN REMARK 999009999 0 HOLLY K MOEN P01800653 6123055000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MEGAN M REMARK 640 JACKSON STREET ST PAUL MN 55101 941626560 0 X WWW.REGIONSHOSPITAL.COM X 1986 MN TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE. 15 9 7333 207 0 0 15104342 8985867 898405731 924804151 22548504 7254390 500181 286503 936558758 941330911 675417 508591 0 0 530617391 574490669 0 0 1092000 334124696 352637882 865417504 927637142 71141254 13693769 1151249927 1088798516 401292890 363324533 749957037 725473983 X TO IMPROVE THE HEALTH OF OUR PATIENTS AND COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE WHICH MEETS THE NEEDS OF ALL PEOPLE. OUR VISION IS TO BE THE PATIENT-CENTERED HOSPITAL OF CHOICE OF OUR COMMUNITY. 0 0 848091692 508591 925065654 SEE SCHEDULE O - EXEMPT PURPOSE AND ACHIEVEMENTS FOR A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS 848091692 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 1 0 0 7333 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X MEGAN M REMARK PRESIDENT 6512540900 640 JACKSON ST ST PAUL MN 55101 X ARMANDO CAMACHO DIRECTOR & VICE CHAIR 0.50 0.00 X X 0 0 0 ACOOA ELLIS DIRECTOR 0.24 0.00 X 0 0 0 ANGELA DILLOW DIRECTOR 0.86 0.00 X 0 0 0 JENNIFER REEDY DIRECTOR 0.41 0.00 X 0 0 0 KENT LARSON DIRECTOR 0.76 0.00 X 0 0 0 LAURA LIU DIRECTOR & CHAIR 1.06 0.00 X X 0 0 0 JAMES MCDONOUGH COMMISSIONER DIRECTOR (JAN-FEB) 0.33 0.00 X 0 0 0 LANCE WHITACRE DIRECTOR & TREASURER 0.56 0.00 X X 0 0 0 LINDA HANSON DIRECTOR 0.26 0.00 X 0 0 0 JEROME C SIY MD DIRECTOR 0.50 49.50 X 0 536896 92705 JENNIFER G HINES MD DIRECTOR 0.50 37.50 X 0 342345 88959 MEGAN M REMARK DIRECTOR & PRESIDENT 46.50 3.50 X X 0 871434 276903 ANDREA M WALSH DIRECTOR 0.50 54.50 X 0 2482363 788695 PENNY D CERMAK DIRECTOR 0.50 56.50 X 0 1185339 246286 SUNNY KAUL MBBS DIRECTOR 0.50 40.00 X 0 899202 53343 TRISTA MATASCASTILLO DIRECTOR 0.50 0.00 X 0 0 0 MARK R SANNES MD DIRECTOR 0.50 54.50 X 0 779819 157906 CHRISTINE M BOESE VP, PATIENT CARE SERVICE 39.50 0.50 X 426653 0 50562 JOHN M CLARK VP FINANCE 49.50 0.50 X 279190 0 36028 HEIDI G CONRAD VP,CHIEF FINANCIAL OFFICER (JAN-OCT) 52.50 2.50 X 0 549913 116747 ALICIA L GILBERT VP HUMAN RESOURCES 45.00 0.00 X 0 155297 32114 BRET C HAAKE VP - MEDICAL AFFAIRS 0.50 56.50 X 0 610105 103510 THOMAS J BOROWSKI VP -REGIONS & PRES-HUDSON 1.00 49.00 X 382028 0 60772 STEVEN M MASSEY VP -REGIONS & PRES-WESTFIE 1.00 49.00 X 384015 0 60826 DEBRA A RUDQUIST VP -REGIONS & AMERY 0.50 49.50 X 388819 0 60897 TYLER R SCHMIDTZ VP ANCILLARY SERVICE 49.00 1.00 X 399299 0 37354 MARY JO MORRISON VP QUALITY 60.00 0.00 X 402689 0 61111 DEBRA R KELLY MEDICAL EXECUTIVE DIRECTOR 45.00 0.00 X 264551 0 34134 NANCY L EVERT SECRETARY, HPI GENERAL COU 0.50 54.50 X 0 718467 195651 ANTHONY C GRUNDHAUSER VP REGIONS FOUNDATION 45.00 0.00 X 292388 0 42821 STEVEN G KREMER MANAGER ANESTHESTIST 47.00 0.00 X 293169 0 47477 NALY T YANG NURSE ANESTHESTIST 45.00 0.00 X 283341 0 58161 BRAD L PLOWMAN FINANCE DIRECTOR 50.00 0.00 X 282368 0 58523 MATTHEW L SEMERAD DIRECTOR OF SURGICIAL SERV 45.00 0.00 X 267251 0 44762 JUSTIN A ANDERSON NURSE ANESTHESTIST 40.00 0.00 X 270812 0 26007 KIMBERLY T EGAN FORMER VP HUMAN RESOURCES 0.00 50.00 X 0 403213 61827 4616573 9534393 2894081 768 1 1 0 KRAUS-ANDERSON CONST CO 501 S EIGHTH ST MINNEAPOLIS MN 55404 CONSTRUCTION 10312067 UNIVERSITY OF MINNESOTA 1300 S 2ND ST MINNEAPOLIS MN 55454 PHYSICIAN SERVICES 8593144 SAGILITI 23505 SMITHTOWN RD STE 280 EXCELSIOR MN 553314550 CONSULTANT 7354442 FAVORITE HEALTHCARE STAFFING PO BOX 26225 OVERLAND PARK KS 66225 STAFFING 3716120 HEALTH SYSTEMS COOP LAUNDRIES 725 MINNEHAHA AVE E ST PAUL MN 551064441 CLEANING & LAUNDRY 3264140 73 2000000 6985767 100 8985867 PATIENT SERVICES 623990 877456531 877456531 CONTRACT REVENUE 623990 41231602 41231602 OTHER REVENUE 623990 2570429 2570429 CAFETERIA 445200 2379276 2379276 PARKING 812930 1117327 1117327 48986 48986 924804151 7254390 7254390 25000 0 25000 25000 25000 557152 295649 261503 261503 941330911 925065654 0 7279390 508591 508591 3664137 3664137 453597162 414937601 37764561 895000 18290057 16597146 1692911 71038906 64866970 6171936 27900407 25317970 2582437 455514 455514 1040 1040 30482214 28855820 1429394 197000 2470705 196188 2274517 4919504 4830556 88948 2285461 2184920 100541 17935906 17572759 363147 483236 457337 25899 290212 258030 32182 8484751 7771895 712856 44351782 40743571 3608211 3305062 3305062 MEDICAL AND OTHER SUPPL 175985531 175945696 39835 MAINTENANCE AND REPAIR 24110778 10934516 13176262 TAXES & ASSESSMENTS 22677315 22677315 MISCELLANEOUS EXPENSE 12298831 8413711 3885120 2100040 1716038 384002 927637142 848091692 78453450 1092000 10865526 14374400 287228363 244000499 107112669 112166049 12482592 13028740 4205936 5039558 977285156 656165962 332845530 321119194 348329839 312914885 48179472 66155191 1151249927 1088798516 163542165 117337821 6820583 6394735 191203118 180088594 39727024 59503383 401292890 363324533 X 716872740 691917212 33084297 33556771 749957037 725473983 1151249927 1088798516 X 13693769 -38649297 472474 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 1 0 1 59292 1 1 59292 0 PART II-B, LINE 1: REGIONS HOSPITAL PAYS FOR CERTAIN CORPORATE AND EMPLOYEE PROFESSIONAL ASSOCIATION MEMBERSHIPS. A PORTION OF SUCH MEMBERSHIP DUES POTENTIALLY COULD BE USED BY THE PROFESSIONAL ASSOCIATIONS FOR LOBBYING ACTIVITIES. REGIONS HOSPITAL COST OF DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR LEGISLATIVE BODIES CONSISTS OF: LOBBYISTS $37,730 LOBBYING DUES $19,500 ADMINISTRATIVE COST $ 2,062 ------ TOTAL $59,292 6394223 6394223 643908747 406907893 237000854 8744793 6805247 1939546 278116792 239072512 39044280 40120601 3380310 36740291 321119194 DEBT INSURRANCE COSTS 1003857 INTEREST IN N.A. OF RHF 33556771 RIGHT OF USE ASSET 31594563 66155191 LONG TERM DEBT CURRENT PORTION 11114524 POST RETIREMENT BENEFITS 2246510 PROFESSIONAL LIABILITY RESERVE 14090820 LEASE OBLIGATION 32051529 59503383 X PART X, LINE 2: REGIONS HOSPITAL IS INCLUDED IN THE HEALTHPARTNERS, INC. (HP) CONSOLIDATED AUDITED FINANCIAL STATEMENT. JUDGMENT IS REQUIRED IN DETERMINING HP'S EFFECTIVE TAX RATE AND IN EVALUATING ITS TAX POSITION. HP ESTABLISHES ACCRUALS FOR UNCERTAIN TAX POSITIONS WHEN, DESPITE THE BELIEF THAT HP'S TAX RETURN POSITIONS ARE FULLY SUPPORTABLE, HP BELIEVES THAT ITS POSITION MAY NOT BE FULLY SUSTAINED, PRIMARILY GIVEN THE RISKS ASSOCIATED WITH TAX LITIGATION OR DISPUTES. THE UNCERTAIN TAX POSITION ACCRUALS ARE ADJUSTED IN LIGHT OF CHANGING FACTS AND CIRCUMSTANCES, SUCH AS THE PROGRESS OF TAX AUDITS, CASE LAW, AND EMERGING LEGISLATION. HP'S EFFECTIVE TAX RATE INCLUDES THE IMPACT OF CHANGES TO THE ACCRUALS FOR UNCERTAIN TAX POSITIONS. HP CLASSIFIES INTEREST AND PENALTIES ON TAX-RELATED MATTERS AS INCOME AND OTHER TAX EXPENSE IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. HP RECORDED NO LIABILITIES AT DECEMBER 31, 2022 OR 2021 FOR UNRECOGNIZED TAX BENEFITS. 1 1 1 X 1 X 2000.000000000000 1 1 1 0 0 22997735 1694138 21303597 0.02300 22997735 1694138 21303597 0.02300 14517241 2798341 11718900 0.01260 24724501 11172291 13552210 0.01460 39241742 13970632 25271110 0.02720 62239477 15664770 46574707 0.05020 1 2133097 187394505 187082104 312401 X 1 1 1 1 REGIONS HOSPITAL 640 JACKSON STREET ST PAUL MN 55101 WWW.REGIONSHOSPITAL.COM 361114 X X X X REGIONS HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 1 0 1 X WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/REGIONS/ABOUT/COMMUNITY-BENEFIT X 1 22 1 HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/REGIONS/ABOUT/COMMUNITY-BENE 0 1 X 200.000000000000 2000.000000000000 X X X X 1 1 X X X 1 X HEALTHPARTNERS.COM/CARE/HOSPITALS/REGIONS/PATIENT-GUEST/PATIENT-INFORMATION X HEALTHPARTNERS.COM/CARE/HOSPITALS/REGIONS/PATIENT-GUEST/PATIENT-INFORMATION X HEALTHPARTNERS.COM/CARE/HOSPITALS/REGIONS/PATIENT-GUEST/PATIENT-INFORMATION X X X X X X 1 X 0 X X X X 1 X X 0 0 REGIONS HOSPITAL PART V, SECTION B, LINE 5: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE REGIONS HOSPITAL'S 2021 CHNA AT HTTPS://WWW.HEALTHPARTNERS.COM/CARE/HOSPITALS/REGIONS/ABOUT/COMMUNITY-BENEFIT. REGIONS HOSPITAL PART V, SECTION B, LINE 6A: OTHER HOSPITAL FACILITIES INCLUDED IN THE 2021 HEALTHPARTNERS CHNA WERE:- HUDSON HOSPITAL, HUDSON, WI.- WESTFIELDS HOSPITAL, NEW RICHMOND, WI.- LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, STILLWATER, MN.- PARK NICOLLET METHODIST HOSPITAL, ST. LOUIS PARK, MN- AMERY REGIONAL MEDICAL CENTER, AMERY, WI.- HUTCHINSON HEALTH, HUTCHINSON MN- HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC, OLIVIA MN REGIONS HOSPITAL PART V, SECTION B, LINE 11: IN 2022, SEVERAL TACTICS WERE IMPLEMENTED TO HELP ADDRESS THE NEEDS IDENTIFIED IN OUR CHNA AND DESCRIBED IN OUR IMPLEMENTATION PLAN. HIGHLIGHTS OF THE 2022 ACTIVITIES AND RESULTS ARE INCLUDED BELOW.PRIORITY 1: ACCESS TO CAREIN 2022, THE COMMUNITY PARAMEDICINE PROGRAM SERVED 576 PATIENTS OF WHICH 176 WERE ADMITTED TO OUR HOSPITAL@HOME PROGRAM. THE TEAM COMPLETED 2,650 HOME VISITS IN TOTAL. PARTICIPANTS HAD AN ESTIMATED 1,728 FEWER HOSPITAL DAYS WHEN COMPARED TO A MATCHED GROUP WITHIN THE SYSTEM. COMMUNITY PARAMEDICINE CONTINUES TO GROW ALONGSIDE THE HOSPITAL@HOME PROGRAM.PRIORITY 2: ACCESS TO HEALTHREGIONS HOSPITAL CONVERTED TO USING EPIC'S SOCIAL DETERMINANTS OF HEALTH WHEEL AND STANDARDIZED WORKFLOWS TO MATCH SYSTEM-WIDE PROCESSES. IN 2022, 77.2% OF PATIENT ENCOUNTERS WERE SCREENED FOR FOOD INSECURITY; 6% OF THOSE SCREENED POSITIVE, AND 15.9% SCREENED THAT SCREENED POSITIVE WERE MALNOURISHED AND FOOD INSECURE. ADDITIONALLY, REGIONS HOSPITAL WORKED WITH THE AMERICAN HEART ASSOCIATION AND LOCAL HMONG ELDER DAY CARE CENTERS TO HOST A BLOOD PRESSURE SCREENING AND HEALTHY NUTRITION EVENT AT HMONG VILLAGE IN ST. PAUL.PRIORITY 3: MENTAL HEALTH AND WELL-BEINGFOR 2022, REGIONS HOSPITAL OPERATED THEIR FIRST FULL YEAR OF EXPANDED MENTAL HEALTH BED CAPACITY BY 20 TO A TOTAL OF 120 ACUTE INPATIENT BEDS. THIS ALLOWED REGIONS HOSPITAL TO ADMIT 358 MORE PATIENTS THAN THE YEAR PRIOR. REGIONS HOSPITAL BEHAVIORAL HEALTH OUTPATIENT CLINICS COMPLETED 72,189 VISITS IN 2022 PRIORITY 4: NUTRITION AND PHYSICAL ACTIVITYREGIONS HOSPITAL PARTNERED WITH HUNGER SOLUTIONS FOR HUNGER ON THE HILL DAY AND WITH GOVERNMENT RELATIONS TO SHARE KEY LEARNINGS WITH THE EAST METRO MENTAL HEALTH ROUND TABLE REGARDING FOOD INSECURITY AMONGST OUR MENTAL HEALTH POPULATION.PRIORITY 5: SUBSTANCE ABUSEREGIONS HOSPITAL MAINTAINED THE STRONG IMPROVEMENTS IN REDUCING THE AMOUNT OF OPIOIDS PRESCRIBED AFTER INPATIENT DISCHARGES AND AFTER SURGERIES AT SAME DAY SURGERY. DEVELOPED CLEAR AND EFFECTIVE REFERRAL PATHWAYS TO ADDICTION MEDICINE PROVIDERS, INCREASED AVAILABILITY OF MEDICATIONS TO TREAT OPIOID USE DISORDER AND ADDED AN ADDICTION MEDICINE PROVIDER TO SUPPORT THE INCREASE IN ADDICTION MEDICINE CONSULT VOLUMES. PART V, SECTION B, LINE 13 REGIONS HOSPITAL FINANCIAL ASSISTANCE POLICY (FAP) EXPLAINS THE ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE AS FOLLOWS: FEDERAL POVERTY GUIDELINES (FPG) FAMILY INCOME LIMIT FOR ELIGIBILITY FOR FREE CARE AT 200%; AND UNLIMITED FPG FAMILY INCOME FOR ELIGIBILITY FOR DISCOUNTED CARE. PART V, SECTION B, LINE 3E REGIONS HOSPITAL ADDRESSES THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY THROUGH OUR CHNA. 6 1 - HEALTHPARTNERS SPECIALTY CENTER 435 PHALEN BOULEVARD ST PAUL MN 55132 REGIONS SAME DAY SURGERY, PAIN CLINIC, & DIGESTIVE CAR 2 - HEALTHPARTNERS SPECIALTY CENTER 401 PHALEN BOULEVARD ST PAUL MN 55130 REGIONS IMAGING CTR., PULMONARY FUNCTION TESTING, HAND/PHYS./SPEECH THERAPY 3 - REGIONS CARDIOPULMONARY REHABILITATION 2575 UNIVERSITY AV SUITE 140 WESTGATE ST PAUL MN 55114 CARDIOPULMONARY REHABILITATION CLINIC 4 - HEALTHPARTNERS SLEEP CENTER 2688 MAPLEWOOD DRIVE MAPLEWOOD MN 55109 SLEEP HEALTH CENTER 5 - REGIONS PHYSICAL THERAPY CLINIC 295 PHALEN BLVD ST PAUL MN 55130 PHYSICAL THERAPY CLINIC 6 - REGIONS HOSPITAL HAND & PT CLINIC 2220 RIVERSIDE AVE 5TH FLOOR MINNEAPOLIS MN 55454 HAND AND PHYSICAL THERAPY PART I, LINE 3C: REGIONS HOPSITAL PARTICIPATES IN A MINNESOTA ATTORNEY GENERAL'S (MN AG) AGREEMENT THAT GIVES ALL PATIENTS AT LEAST THE SAME DISCOUNT AS OUR HIGHEST VOLUME COMMERCIAL PAYER. REGIONS HOSPITAL APPLIES THE MN AG OR THE 501R DISCOUNT, WHICHEVER IS GREATER. PART I, LINE 7: REGIONS HOSPITAL USES THE COST-TO-CHARGE RATIO METHOD WHEN CALCULATING THE AMOUNTS REPORTED ON PART I. LINE 7. THE COST-TO-CHARGE RATIO WAS DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE-COST-TO-CHARGE, FROM THE SCHEDULE H INSTRUCTIONS. PART III, LINE 2: REGIONS HOSPITAL USES A HISTORIC BAD DEBT PERCENTAGE THAT IS ROUTINELY MONITORED, REVIEWED, AND UPDATED IN ORDER TO OBTAIN THE BEST ESTIMATE OF THE CURRENT YEAR'S BAD DEBT. PART III, LINE 4: SEE THE ORGANIZATION'S FOOTNOTES 1.O AND 1.Q OF THE ATTACHED CONSOLIDATED FINANCIAL STATEMENT. PART III, LINE 8: REGIONS HOSPITAL MEDICARE COST IS DERIVED BASED ON THE RATIO OF MEDICARE FFS CHARGES TO TOTAL CHARGES MULTIPLIED BY TOTAL EXPENSES (LESS CHARITY CARE & BAD DEBT). NONE OF THE MEDICARE FFS LOSS REPORTED ON SCHEDULE H, PART III, LINE 7 IS TREATED AS COMMUNITY BENEFIT ON SCHEDULE H, PART I, LINE 7A. PART III, LINE 9B: COLLECTIONS PRACTICESREGIONS HOSPITAL DEBT COLLECTION POLICY CONTAINS PROVISIONS ON COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO BE ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE. REGIONS HOSPITAL WILL NOT REFER ANY ACCOUNT TO A THIRD PARTY DEBT COLLECTION AGENCY UNLESS IT HAS CONFIRMED THAT:- THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT.- ALL KNOWN THIRD-PARTY PAYERS HAVE BEEN PROPERLY BILLED, AND THE PATIENT IS RESPONSIBLE FOR THE REMAINING DEBT.- IF THE PATIENT HAS INDICATED AN INABILITY TO PAY THE FULL AMOUNT, THE PATIENT HAS BEEN OFFERED A REASONABLE PAYMENT PLAN. REGIONS WILL NOT REFER PATIENTS TO DEBT COLLECTION AGENCIES WHO ARE PERFORMING AS SPECIFIED IN THEIR PAYMENT PLANS.- THE PATIENT HAS BEEN GIVEN AN OPPORTUNITY TO SUBMIT A CHARITY CARE (FINANCIAL ASSISTANCE) APPLICATION. IF THE PATIENT HAS SUBMITTED AN APPLICATION FOR CHARITY CARE, ALL COLLECTION ACTIVITY WILL BE SUSPENDED UNTIL THE APPLICATION HAS BEEN PROCESSED. PART VI, LINE 2: TO COMPREHENSIVELY UNDERSTAND AND DESCRIBE THE NEEDS OF THE COMMUNITIES HEALTHPARTNERS SERVES, WE SYSTEMATICALLY IDENTIFIED A LIST OF PUBLICLY AVAILABLE DATA SOURCES AND A LIST OF INTERNALLY AVAILABLE HEALTHPARTNERS DATA SOURCES. WITH THE CHNA WORKGROUP THAT HAD EXPERTISE FROM PUBLIC HEALTH, HEALTHCARE AND EPIDEMIOLOGY, WE CAREFULLY REVIEWED THE LIST TO IDENTIFY OPPORTUNITIES WITH A SPECIFIC LENS TOWARDS INCLUDING MEMBERS WITH UNIQUE INSIGHT INTO NEEDS OF OUR UNDERSERVED COMMUNITIES WHERE HEALTH AND OTHER DISPARITIES EXIST. TO FURTHER ROUND OUT UNDERSTANDING, WE SOUGHT ADDITIONAL DATA SOURCES TOGETHER WITH OUR COMMUNITY PARTNERS. WHERE OPPORTUNITIES STILL REMAIN FOR BETTER UNDERSTANDING DUE TO LACK OF CURRENTLY AVAILABLE DATA, WE HAVE NOTED IN THE REPORT. FOR EXAMPLE, WE IDENTIFIED SPECIFIC GAPS IN DATA AVAILABLE TO UNDERSTAND THE COVID-19 PANDEMIC CONTEXT AND THE INFLUENCE OF STRUCTURAL RACISM ON THE NEEDS AREAS. THUS, WE SPECIFICALLY DESIGNED OUR QUALITATIVE COMMUNITY CONVERSATIONS AND OUR QUANTITATIVE HEALTHPARTNERS PROVIDER SURVEYS TO FILL THESE GAPS. HEALTHPARTNERS PROVIDER SURVEYS: SELECT HEALTHPARTNERS STAFF WHO PROVIDE DIRECT CARE FOR OUR PATIENTS WERE INVITED BY HOSPITAL LEADERS AND THE CHNA EXPERT PANEL MEMBERS TO COMPLETE A BRIEF WEB SURVEY ABOUT THE NEEDS OF THE PATIENTS THEY SERVE. THE SURVEY WAS DEVELOPED BY AN EXPERT SURVEY METHODOLOGIST WITH INPUT FROM THE CHNA WORKGROUP. OVERALL, 444 PROVIDERS INCLUDING DOCTORS, CARE COORDINATORS, PHARMACISTS, PHYSICAL OR OCCUPATIONAL THERAPISTS, DIETITIANS, NURSES, AND SOCIAL WORKERS COMPLETED SURVEYS ACROSS ALL HEALTHPARTNERS HOSPITALS. DESCRIPTIVE STATISTICS AND A THEMATIC ANALYSIS WERE COMPLETED AND INCLUDED IN THE NEEDS AREA SUMMARIES BELOW.COMMUNITY CONVERSATIONS: A TOTAL OF 41 COMMUNITY CONVERSATIONS WERE HELD OR ATTENDED BY HEALTHPARTNERS WORKGROUP MEMBERS. RESULTS WERE SUMMARIZED AND KEY THEMES AND QUOTES WERE ADDED TO THE NEEDS AREA SUMMARIES THROUGHOUT. ADDITIONAL DETAILS ABOUT THE COMMUNITY CONVERSATIONS CAN BE FOUND IN THE APPENDIX OF THE REGIONS HOSPITAL 2021 CHNA. PART VI, LINE 3: REGIONS HOSPITAL IS THE PRIMARY "SAFETY NET" HOSPITAL FOR LOW-INCOME UNINSURED AND UNDERINSURED PEOPLE IN THE EAST METRO. REGIONS HOSPITAL SERVES ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IN 2022 REGIONS HOSPITAL PROVIDED APPROXIMATELY $19.2 MILLION IN CHARITY CARE COSTS. REGIONS HOSPITAL DEFINES CHARITY CARE AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE, TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY, PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY ANY PAYER, AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION. TO INFORM AND EDUCATE PATIENTS ON ITS CHARITY CARE PROGRAM AND GOVERNMENT PROGRAMS, REGIONS HOSPITAL HAS DEVELOPED AN EXTENSIVE FINANCIAL COUNSELING PROGRAM. THE PROGRAM WAS STARTED IN THE EMERGENCY DEPARTMENT IN 1995 BUT SINCE THEN, THE PROGRAM HAS BEEN IMPLEMENTED THROUGHOUT THE HOSPITAL. INFORMATION IS AVAILABLE IN PATIENT WELCOME MATERIALS, AT ALL CHECK IN AREAS, ON THE WEBSITE AND THROUGH THE FINANCIAL COUNSELING STAFF. PART VI, LINE 4: REGIONS HOSPITAL IS LOCATED IN RAMSEY COUNTY IN DOWNTOWN ST. PAUL. REGIONS HOSPITAL IS IN CLOSE PROXIMITY TO THE STATE CAPITOL, POPULAR ENTERTAINMENT ATTRACTIONS AND NUMEROUS LARGE CORPORATE HEADQUARTERS AND IS VISIBLE FROM INTERSTATE 94. REGIONS HOSPITAL IS THE LARGEST PROVIDER OF CHARITY CARE IN THE EAST METRO AND IS ONE OF ONLY FOUR CERTIFIED LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTERS IN THE STATE OF MINNESOTA. THIS CERTIFICATION REQUIRES REGIONS HOSPITAL TO HAVE SELECT MEDICAL AND SURGICAL SPECIALISTS AVAILABLE TWENTY-FOUR HOURS A DAY. ACCORDING TO THE U.S. CENSUS BUREAU, RAMSEY COUNTY HAD A POPULATION OF 552,352 IN 2020. APPROXIMATELY 33.9% WERE NON-WHITE, 12.6% OF INDIVIDUALS IN RAMSEY COUNTY ARE LIVING IN POVERTY, AND 6.9% ARE WITHOUT INSURANCE. IN 2022, REGIONS HOSPITAL PROVIDED ACUTE INPATIENT CARE TO PATIENTS FROM 78 OF THE 87 COUNTIES IN THE STATE OF MINNESOTA . AS THE STATE'S SECOND-LARGEST SAFETY-NET HOSPITAL, REGIONS PROVIDES CARE TO EVERYONE, REGARDLESS OF THEIR ABILITY TO PAY. REGIONS HOSPITAL SERVES A DIVERSE PATIENT POPULATION. REGIONS HOSPITAL AND HEALTHPARTNERS ARE ONE OF THE FIRST IN THE NATION TO GATHER SELF-REPORTED DATA FROM PATIENTS ON RACE, COUNTRY OF ORIGIN AND LANGUAGE PREFERENCE. OF REGIONS HOSPITALS 29,683 2022 INPATIENT CASES, 35.7% WERE PATIENTS OF COLOR. FOR THESE SAME ADMISSIONS, 2,802 PATIENTS (9.4%) REPORTED A LANGUAGE OTHER THAN ENGLISH AS THEIR PRIMARY PREFERENCE. PART VI, LINE 5: REGIONS HOSPITAL CONTINUALLY INVESTS - THROUGH EXPENDITURES AND IN-KIND CONTRIBUTIONS OR OTHER SUPPORT - IN ACTIVITIES THAT IMPROVE THE HEALTH OF THE COMMUNITY AND THE REGION. REGIONS HOSPITAL IS GOVERNED BY A COMMUNITY-BASED BOARD OF DIRECTORS AND THE MEDICAL STAFF IS ORGANIZED IN THE PUBLIC'S INTEREST. SUPPORT MAY INCLUDE DIRECT EXPENDITURES, RAISING FUNDS THROUGH EMPLOYEE OR COMMUNITY INITIATIVES, DONATING STAFF TIME, PARTICIPATING IN COMMUNITY PARTNERSHIPS AND INITIATIVES AND /OR PROVIDING FREE SERVICES OR EQUIPMENT. MORE INFORMATION ABOUT REGIONS COMMUNITY BENEFIT AND COMMUNITY HEALTH EFFORTS IS DETAILED IN SCHEDULE O. PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMPLEASE SEE SCHEDULE O: DISCUSSION OF EXEMPT PURPOSE AND ACHIEVEMENTS "I. CORPORATE STRUCTURE, PURPOSE, GOVERNANCE." PART VI, LINE 7, REPORTS FILED WITH STATES MN,WI PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT REGIONS HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN THE STATE OF MINNESOTA. REGIONS HOSPITAL'S SISTER HOSPITALS, LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, LOCATED IN STILLWATER, MINNESOTA AND PARK NICOLLET METHODIST HOSPITAL IN ST, LOUIS PARK, MINNESOTA; HUTCHINSON HEALTH, IN HUTCHINSON, MINNESOTA; WESTFIELDS HOSPITAL, LOCATED IN NEW RICHMOND, WISCONSIN; HUDSON HOSPITAL, LOCATED IN HUDSON, WISCONSIN; AMERY REGIONAL MEDICAL CENTER, LOCATED IN AMERY, WISCONSIN; AND HEALTHPARTNERS RC, DBA OLIVIA HOSPITAL AND CLINIC, LOCATED IN OLIVIA MINNESOTA, FILE COMMUNITY BENEFIT REPORTS WITH THEIR RESPECTIVE STATES. THE EIGHT HOSPITALS WORK COLLABORATIVELY ACROSS MULTIPLE HEALTH INITIATIVES, ALONG WITH OTHER MEMBERS OF THE HEALTHPARTNERS FAMILY OF ORGANIZATIONS TO IMPROVE THE HEALTH OF MEMBERS, PATIENTS AND THE COMMUNITY. 0 CATHOLIC CHARITIES 215 OLD 6TH ST ST PAUL MN 55102 411302487 501(C)(3) 398292 0 PROGRAM SUPPORT COMMONBOND COMMUNITIES 1080 MONTREAL AVE ST PAUL MN 55116 411260469 501(C)(3) 10000 0 PROGRAM SUPPORT ST PAUL FIRE FOUNDATION 645 RANDOLPH AVE ST PAUL MN 55102 264710527 501(C)(3) 10000 0 PROGRAM SUPPORT GILLETTE CHILDREN'S HOSPITAL FOUNDATION 200 EAST UNIVERSITY AVE ST PAUL MN 55101 411200302 501(C)(3) 10000 0 PROGRAM SUPPORT EMMA NORTON SERVICES 670 N ROBERT STREET ST PAUL MN 55101 410859485 501(C)(3) 55000 0 PROGRAM SUPPORT 5 0 PART I, LINE 2: REGIONS HOSPITAL (REGIONS) MANAGEMENT STAFF REVIEW THE MISSION AND PURPOSE OF POTENTIAL GRANTEE ORGANIZATIONS TO ASSURE CONSISTENCY WITH REGIONS' MISSION AND PURPOSE. AMOUNTS SUBSEQUENTLY GRANTED ARE SUBJECT TO REGIONS' FORMAL SPENDING APPROVAL AND DOCUMENTATION PROCESS BASED ON AMOUNT OF THE EXPENDITURE. X X X X X 0 1 0 0 0 1 1 0 0 ANDREA M WALSH DIRECTOR 0 1437647 0 838595 0 206121 0 719918 0 68777 0 3271058 0 173628 PENNY D CERMAK DIRECTOR 0 805021 0 360450 0 19868 0 196481 0 49805 0 1431625 0 0 MEGAN M REMARK DIRECTOR & PRESIDENT 0 572441 0 213079 0 85914 0 231484 0 45419 0 1148337 0 34053 SUNNY KAUL MBBS DIRECTOR 0 706127 0 16910 0 176165 0 20500 0 32843 0 952545 0 0 MARK R SANNES MD DIRECTOR 0 604186 0 107763 0 67870 0 101841 0 56065 0 937725 0 51156 NANCY L EVERT SECRETARY, HPI GENERAL COU 0 500726 0 174605 0 43136 0 167010 0 28641 0 914118 0 37844 BRET C HAAKE VP - MEDICAL AFFAIRS 0 459752 0 143189 0 7164 0 60762 0 42748 0 713615 0 0 HEIDI G CONRAD VP,CHIEF FINANCIAL OFFICER (JAN-OCT) 0 363640 0 166627 0 19646 0 80282 0 36465 0 666660 0 0 JEROME C SIY MD DIRECTOR 0 447627 0 22250 0 67019 0 66697 0 26008 0 629601 0 0 CHRISTINE M BOESE VP, PATIENT CARE SERVICE 323302 0 85204 0 18147 0 24620 0 25942 0 477215 0 0 0 KIMBERLY T EGAN FORMER VP HUMAN RESOURCES 0 277677 0 80834 0 44702 0 22875 0 38952 0 465040 0 0 MARY JO MORRISON VP QUALITY 302127 0 78527 0 22035 0 24620 0 36491 0 463800 0 0 0 DEBRA A RUDQUIST VP -REGIONS & AMERY 295270 0 78449 0 15100 0 24620 0 36277 0 449716 0 0 0 STEVEN M MASSEY VP -REGIONS & PRES-WESTFIE 296083 0 78332 0 9600 0 24620 0 36206 0 444841 0 0 0 THOMAS J BOROWSKI VP -REGIONS & PRES-HUDSON 289340 0 75810 0 16878 0 24620 0 36152 0 442800 0 0 0 TYLER R SCHMIDTZ VP ANCILLARY SERVICE 307379 0 81477 0 10443 0 0 0 37354 0 436653 0 0 0 JENNIFER G HINES MD DIRECTOR 0 134360 0 10466 0 197519 0 66015 0 22944 0 431304 0 0 NALY T YANG NURSE ANESTHESTIST 153680 0 0 0 129661 0 23688 0 34473 0 341502 0 0 0 BRAD L PLOWMAN FINANCE DIRECTOR 218404 0 55797 0 8167 0 23124 0 35399 0 340891 0 0 0 STEVEN G KREMER MANAGER ANESTHESTIST 242606 0 31930 0 18633 0 23688 0 23789 0 340646 0 0 0 ANTHONY C GRUNDHAUSER VP REGIONS FOUNDATION 252257 0 28379 0 11752 0 7172 0 35649 0 335209 0 0 0 JOHN M CLARK VP FINANCE 231742 0 39947 0 7501 0 22169 0 13859 0 315218 0 0 0 MATTHEW L SEMERAD DIRECTOR OF SURGICIAL SERV 176249 0 0 0 91002 0 21498 0 23264 0 312013 0 0 0 DEBRA R KELLY MEDICAL EXECUTIVE DIRECTOR 213033 0 44188 0 7330 0 20546 0 13588 0 298685 0 0 0 JUSTIN A ANDERSON NURSE ANESTHESTIST 152282 0 0 0 118530 0 2678 0 23329 0 296819 0 0 0 ALICIA L GILBERT VP HUMAN RESOURCES 0 151631 0 0 0 3666 0 8072 0 24042 0 187411 0 0 PART I, LINE 4B DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J, PART II INCLUDES AMOUNTS FROM A NONQUALIFIED 457(F) PLAN FOR THE FOLLOWING DIRECTORS AND OFFICERS: ANDREA M. WALSH $ 276,551 PENNY D. CERMAK $ 107,171 MEGAN M. REMARK $ 37,280 NANCY L. EVERT $ 47,347 MARK R. SANNES $ 73,800 PART I, LINE 6 REGIONS HOSPITAL OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE EMPLOYED BY REGIONS HOSPITAL OR BY GROUP HEALTH PLAN, INC. (GHI) OR PARK NICOLLET HEALTH SERVICES (PNHS), RELATED ORGANIZATIONS. COMPENSATION REPORTED IN FORM 990, PART VII INCLUDES ANY COMPENSATION DERIVED FROM EITHER REGIONS HOSPITAL'S, PNHS OR GHI'S MANAGEMENT INCENTIVE PROGRAM, WHICH INCENT AND REWARD BUSINESS LEADERS WHO HELP THE ORGANIZATION ACHIEVE STATED BUSINESS AND/OR HEALTH IMPROVEMENT GOALS FOR A SPECIFIC FISCAL YEAR. THE PROGRAMS ARE A KEY ELEMENT OF THE PARTICIPANT'S TOTAL COMPENSATION PACKAGE. THE MANAGEMENT INCENTIVE PROGRAMS' REWARDS ARE BASED ON POSITION IN THE ORGANIZATION (E.G., SENIOR VICE PRESIDENT, VICE PRESIDENT, DIRECTOR, MANAGER, OTHER SPECIFICALLY IDENTIFIED LEADERS) AND THE ACHIEVEMENT OF BUSINESS AND HEALTH IMPROVEMENT GOALS ESTABLISHED IN A VARIETY OF AREAS. GOALS WILL BE RELATED TO THE ORGANIZATION'S STRATEGIC PLAN AND WILL BE BALANCED. THESE AREAS MAY INCLUDE, BUT ARE NOT LIMITED TO, PATIENT SATISFACTION, EMPLOYEE SATISFACTION, WORK ENVIRONMENT, HEALTH EQUITY, HEALTHCARE AFFORDABILITY MEASURES, HEALTH CARE AND CARE DELIVERY MARKET SHARE, STRATEGIC CAPABILITIES, HOSPITAL AND CLINIC QUALITY MEASURES, FINANCIAL PERFORMANCE (OPERATING INCOME), ETC., AND WILL BE DEFINED ANNUALLY FOR EACH YEAR'S PROGRAM. AN OPERATING INCOME THRESHOLD MUST BE MET FOR ANY PAYMENT TO BE MADE FROM THE PROGRAM AND THERE IS A CAP ON THE MAXIMUM INCENTIVE POTENTIALLY AVAILABLE TO EACH PARTICIPANT. FORM 990, SCHEDULE J, PART II - PRIOR REPORTED COMPENSATION COLUMN (F) INCLUDES AMOUNTS PAID TO PARTICIPANTS IN THE CURRENT YEAR, WHICH WERE PREVIOUSLY REPORTED IN COLUMN (C) OF PRIOR YEARS' 990'S, AS RETIREMENT AND DEFERRED COMPENSATION, FOR THE FOLLOWING DIRECTORS, OFFICERS AND FORMER OFFICER: ANDREA M. WALSH $ 173,628 MEGAN M. REMARK $ 34,053 NANCY L. EVERT $ 37,844 MARK R SANNES $ 51,156 ANY ANALYSIS OF EARNINGS FOR THE CURRENT YEAR, FOR THESE PARTICIPANTS OF THE PLAN, SHOULD EXCLUDE THE AMOUNT IN COLUMN F AS PART OF THE ANALYSIS SINCE THOSE EARNINGS WERE ALREADY REPORTED IN COLUMN (C) OF PREVIOUS YEARS' 990'S. A HRA OF THE CITY OF ST PAUL MN HEALTH CARE REVENUE BONDS-SERIES 2014AA 521440935 NONE99999 2014-03-18 30860000 REFUND SERIES 1998 BONDS & EXPANSION OF REGIONS HOSPITAL FACILITY 0 0 0 B HRA OF THE CITY OF ST PAUL MN HEALTH CARE REVENUE BONDS-SERIES 2018A 521440935 NONE99999 2018-09-26 25000000 SERIES 2018A 0 0 0 C HRA OF THE CITY OF ST PAUL MN HEALTH CARE REVENUE BONDS-SERIES 2018B 521440935 NONE99999 2018-09-26 25000000 SERIES 2018B 0 0 0 D HRA OF THE CITY OF ST PAUL MN HEALTH CARE REVENUE BONDS 521440935 792905DJ7 2015-06-11 331886593 REFUNDING SERIES 2006, 2008C, 2009 0 0 0 A 16020000 30860000 257873 30602127 2001 1 0 1 1 B 4950000 25000000 252918 24747883 2020 0 0 1 1 C 4950000 25000000 252918 24747883 2020 0 0 1 1 D 14450000 331886593 2528203 329358390 2009 1 1 1 1 A 0 0 1 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 1 1 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 0 0 1 0 0 0 0 1 A 1 B 1 C 1 D 1 PART I, AND PART II, LINE 3 - DIFFERENCES IN AMOUNTS DIFFERENCES BETWEEN THE ISSUE PRICE (PART I) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) - DESCRIPTION OF PURPOSE A. REFUND BONDS ISSUED 10/30/2003. FUND VARIOUS PROJECTS & EQUIPMENT. B. REFUND REGIONS HOSPITAL 2006 BONDS ISSUED 11/30/2006. REFUND PARK NICOLLET HEALTH SERVICES 2008C AND 2009 BONDS ISSUED 08/14/2008 AND 12/31/2009, RESPECTIVELY. THE NEW OBLIGATED GROUP FOR THE 2015A SERIES INCLUDES GROUP HEALTH PLAN, INC., HEALTHPARTNERS, INC., HEALTHPARTNERS ADMINISTRATORS, INC., REGIONS HOSPITAL, HEALTHPARTNERS INSURANCE COMPANY, PARK NICOLLET HEALTH SERVICES, PARK NICOLLET METHODIST HOSPITAL, PARK NICOLLET CLINIC, PARK NICOLLET HEALTH CARE PRODUCTS AND PNMC HOLDINGS. PART III, LINE 3B - REVIEW OF MANAGEMENT OR SERVICE CONTRACTS REGIONS HOSPITAL USES INTERNAL LEGAL COUNSEL TO REVIEW ANY MANAGEMENT OR SERVICE CONTRACTS RELATING TO THE FINANCED PROPERTY. IF IT ENCOUNTERS UNUSUAL OR COMPLEX CONTRACTS IT WILL ENGAGE BOND COUNSEL OR OTHER OUTSIDE COUNSEL. SCHEDULE K, PART V - PROCEDURES TO UNDERTAKE CORRECTIVE ACTION WRITTEN PROCEDURES HAVE BEEN IN PLACE SINCE 2011. PART IV, ARBITRAGE, LINE 2C D. THE ARBITRAGE REBATE WAS CALCULATED 7/28/2015 TEGAN HUMPHREY DAUGHTER OF JAMES MCDONOUGH A DIRECTOR AT REGIONS HOSPITAL 58105 EMPLOYMENT 0 FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS CORPORATE STRUCTURE, PURPOSE, GOVERNANCE REGIONS HOSPITAL IS A MINNESOTA NONPROFIT CORPORATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE ("IRC") SECTION 501(C)(3) AND IS PART OF THE FAMILY OF HEALTHPARTNERS ORGANIZATIONS ("HEALTHPARTNERS"). FOUNDED IN 1957, HEALTHPARTNERS IS AN INTEGRATED HEALTH CARE ORGANIZATION, PROVIDING HEALTH CARE SERVICES AND HEALTH PLAN FINANCING AND ADMINISTRATION. HEALTHPARTNERS' MISSION IS TO IMPROVE HEALTH AND WELL-BEING IN PARTNERSHIP WITH OUR MEMBERS, PATIENTS AND COMMUNITY. HEALTHPARTNERS SEEKS TO TRANSFORM HEALTH CARE THROUGH A RELENTLESS FOCUS ON THE TRIPLE AIM - PROVIDING EXCEPTIONAL EXPERIENCE FOR THE INDIVIDUAL, IMPROVING THE HEALTH OF THE POPULATION, AND MAINTAINING AFFORDABILITY. HEALTHPARTNERS, INC. (HPI) IS A MINNESOTA NONPROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4) AND IS THE PARENT ENTITY OF HEALTHPARTNERS ORGANIZATIONS REFERRED TO COLLECTIVELY AS "HEALTHPARTNERS". HEALTHPARTNERS INCLUDES AN ARRAY OF TAX-EXEMPT AND TAXABLE ORGANIZATIONS. HEALTHPARTNERS PROVIDES A FULL RANGE OF HEALTH CARE DELIVERY AND HEALTH PLAN SERVICES INCLUDING INSURANCE, PATIENT CARE, ADMINISTRATION AND HEALTH AND WELL-BEING PROGRAMS. HEALTHPARTNERS HEALTH PLANS SERVE MORE THAN 1.8 MILLION MEDICAL AND DENTAL MEMBERS NATIONWIDE. HEALTHPARTNERS MEDICAL CARE SYSTEM INCLUDES MORE THAN 1,900 EMPLOYED PHYSICIANS AND DENTISTS, EIGHT OWNED HOSPITALS WITH OVER 1,000 ACUTE CARE BEDS, OVER 100 PRIMARY AND SPECIALTY CARE MEDICAL FACILITIES AND DENTAL FACILITIES WITH PRACTICES IN MINNESOTA AND WESTERN WISCONSIN SERVING MORE THAN 1.34 MILLION PATIENTS. HEALTHPARTNERS HEALTH PLANS CONTRACT WITH OTHER PRIMARY AND SPECIALTY MEDICAL FACILITIES AND DENTAL FACILITIES, PHYSICIAN GROUPS, HOSPITALS AND RELATED HEALTHCARE PROVIDERS TO SERVE PLAN MEMBERS. HEALTHPARTNERS ALSO PROVIDES MEDICAL EDUCATION AND TRAINING TO MEDICAL PROFESSIONALS AND CONDUCTS RESEARCH AND FUNDRAISING ACTIVITIES THAT SUPPORT THE HEALTH CARE DELIVERY SYSTEM. HEALTHPARTNERS COLLABORATES WITH OTHER PLANS, CARE PROVIDERS AND OTHER COMMUNITY AND BUSINESS ORGANIZATIONS IN THE REGION AND THROUGHOUT THE NATION TO INCREASE ACCESS, CREATE AND SHARE QUALITY MEASURES AND INITIATIVES, PARTICIPATE IN DEVELOPMENT OF PUBLIC POLICY, AND COLLABORATE IN IMPROVEMENTS THAT SUPPORT THE TRIPLE AIM. AMONG HEALTHPARTNERS' SIGNATURE INITIATIVES ARE TOTAL COST OF CARE MEASUREMENTS (A NATIONALLY RECOGNIZED METRIC, ENABLING MEASUREMENT AND INCENTIVES BASED ON COORDINATION AND EVIDENCE-BASED PRACTICES), MENTAL HEALTH (REDUCING STIGMA, AND ASSURING ACCESS TO HIGH QUALITY CARE IN THE MOST APPROPRIATE SETTINGS), CHILDREN'S HEALTH (IMPROVING CHILD HEALTH BY PROMOTING EARLY BRAIN DEVELOPMENT, PROVIDING FAMILY CENTERED CARE, AND STRENGTHENING COMMUNITIES), EQUITY, INCLUSION, AND ANTI-RACISM (ADDRESSING HEALTH EQUITY, ELIMINATING HEALTH CARE DISPARITIES, INCREASING DIVERSITY AND INCLUSION IN OUR WORKPLACES, BUILDING AN ANTI-RACIST CULTURE, AND DEEPENING OUR COLLECTIVE UNDERSTANDING OF CULTURAL HUMILITY) AND SUSTAINABILITY (ENERGY EFFICIENCY, WASTE REDUCTION, AND RESOURCE MANAGEMENT). A COMPLETE LISTING OF ALL ORGANIZATIONS WITHIN HEALTHPARTNERS, AND THE RELATIONSHIP BETWEEN THEM, CAN BE FOUND ON SCHEDULE R WITHIN THIS 990 RETURN. DETAILED INFORMATION ABOUT THE COMMUNITY BENEFIT ACTIVITIES AND ACCOMPLISHMENTS OF EACH TAX-EXEMPT ORGANIZATION CAN BE FOUND IN THE INDIVIDUAL FORM 990 RETURN FOR THAT ORGANIZATION. HEALTHPARTNERS, INC. (HPI) IS THE PARENT ENTITY OF HEALTHPARTNERS AND IS THE SOLE CORPORATE MEMBER OF HPI-RAMSEY. HPI IS A MINNESOTA NON-PROFIT CORPORATION AND LICENSED HEALTH MAINTENANCE ORGANIZATION (HMO) RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(4). HPI-RAMSEY IS THE SOLE CORPORATE MEMBER OF THE FOLLOWING NON-PROFIT CORPORATIONS ALL OF WHICH ARE EXEMPT UNDER IRC SECTION 501(C)(3): REGIONS HOSPITAL (A FULL SERVICE HOSPITAL AND LEVEL 1 TRAUMA CENTER), REGIONS HOSPITAL FOUNDATION, CAPITOL VIEW TRANSITIONAL CARE CENTER, LAKEVIEW HEALTH (WHICH IS THE PARENT ENTITY OF LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION, INC. AND STILLWATER MEDICAL GROUP), AND, RH-WISCONSIN, INC., A WISCONSIN NON-STOCK CORPORATION. RH-WISCONSIN, TOGETHER WITH GROUP HEALTH PLAN, INC. (A STAFF MODEL HMO), ARE THE SOLE CORPORATE MEMBERS OF THREE TAX-EXEMPT WISCONSIN HOSPITALS - HUDSON HOSPITAL, INC., WESTFIELDS HOSPITAL, INC., AND AMERY REGIONAL MEDICAL CENTER, INC. REGIONS HOSPITAL, A LEADING FULL-SERVICE HOSPITAL PROVIDING OUTSTANDING MEDICAL AND SURGICAL CARE, HAS SERVED THE TWIN CITIES AND SURROUNDING REGION FOR OVER 140 YEARS. THE MISSION OF REGIONS IS TO IMPROVE THE HEALTH OF ITS PATIENTS AND THE COMMUNITY BY PROVIDING HIGH QUALITY HEALTH CARE, WHICH MEETS THE NEEDS OF ALL PEOPLE. REGIONS HOSPITAL IS THE SECOND LARGEST PROVIDER OF CHARITY CARE IN MINNESOTA AND IS ONE OF ONLY FOUR CERTIFIED LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTERS IN THE STATE OF MINNESOTA. BENEFITS TO PATIENTS AND THE COMMUNITY IN 2022 FINANCIAL ASSISTANCE: REGIONS HOSPITAL IS THE PRIMARY "SAFETY NET" HOSPITAL FOR LOW-INCOME UNINSURED AND UNDERINSURED PEOPLE IN THE EAST METRO. IN 2022 ALONE, REGIONS HOSPITAL PROVIDED $56.5 MILLION IN CHARITY CARE CHARGES ($19.2 MILLION IN CHARITY CARE COSTS) TO CARE FOR 30,468 PATIENTS WHO DID NOT HAVE INSURANCE OR COULD NOT AFFORD CARE. CHARITY CARE REPRESENTED 2.1 PERCENT OF REGIONS HOSPITAL'S TOTAL OPERATING EXPENSES. OF THE 59,628 TOTAL PATIENT ACCOUNTS WRITTEN OFF IN 2022, 18,869 WERE PURE SELF-PAY PATIENTS WITH NO COVERAGE AND NO ABILITY TO PAY. APPROXIMATELY 14 PERCENT OF THESE SELF-PAY PATIENTS WERE BETWEEN THE AGES OF 18 AND 24. THE REMAINING 40,759 PATIENTS HAD SOME COVERAGE BUT WERE UNABLE TO PAY THE "PATIENT RESPONSIBILITY" PORTION OF THEIR BILL. REGIONS HOSPITAL DEFINES CHARITY CARE AS THE COST OF CARE DELIVERED TO PATIENTS WHO ARE WILLING, BUT UNABLE, TO PAY FOR THE SERVICES THEY RECEIVE. THIS INCLUDES PATIENTS WHOSE CHARGES ARE FORGIVEN OR REDUCED BECAUSE OF INABILITY TO PAY, PATIENTS WHO ARE UNABLE TO PAY THE BALANCE LEFT BY A THIRD-PARTY PAYER, AND PATIENTS FOR WHOM UNUSUAL CIRCUMSTANCES OR SPECIAL FINANCIAL HARDSHIP WARRANT SPECIAL CONSIDERATION. REGIONS IS COMMITTED TO PROVIDING NEEDED SERVICES EVEN AT A FINANCIAL LOSS. FOR EXAMPLE, IN 2022, REGIONS PROVIDED INPATIENT AND OUTPATIENT EMERGENCY SERVICES TO SELF-PAY PATIENTS TOTALING $39.2 MILLION IN CHARGES. APPROXIMATELY $12.3 MILLION OF THESE CHARGES WERE WRITTEN OFF BY REGIONS AT A NET LOSS. REGIONS HOSPITAL PAID $15.1 MILLION IN 2022 IN MINNESOTA HEALTH CARE TAXES EQUAL TO 1.8 PERCENT OF ITS NET REVENUE FROM PATIENT CARE SERVICES. THE FUNDS RAISED BY THIS TAX ARE EARMARKED BY THE STATE OF MINNESOTA TO INCREASE HEALTH CARE ACCESS FOR MINNESOTANS WHO ARE OTHERWISE UNABLE TO FULLY PAY FOR HEALTH CARE SERVICES. GOVERNMENT SPONSORED MEANS TESTED HEALTH CARE: REGIONS HOSPITAL PROVIDES INPATIENT AND OUTPATIENT CARE, INCLUDING EMERGENCY DEPARTMENT SERVICES, TO A LARGE NUMBER OF MEDICARE, MEDICAID AND OTHER GOVERNMENT PROGRAM PATIENTS. IN 2022, PATIENTS FROM GOVERNMENT PROGRAMS FOR SENIORS CONSTITUTED 44.0 PERCENT OF REGIONS HOSPITAL'S CHARGES, PATIENTS FROM GOVERNMENT PROGRAMS FOR THE POOR CONSTITUTED 22.7 PERCENT OF REGIONS HOSPITAL'S CHARGES, AND CHARITY CASES WERE 1.9 PERCENT OF CHARGES. ONLY 31.4 PERCENT OF CHARGES WERE FOR COMMERCIAL PATIENTS. ALTHOUGH MOST OF REGIONS HOSPITAL'S REIMBURSEMENT COMES FROM GOVERNMENT PROGRAMS, THESE PROGRAMS OFTEN DO NOT COMPENSATE HOSPITALS FOR THE FULL COST OF PROVIDING CARE. COMMUNITY BENEFIT SERVICES EQUITABLE CARE: HEALTHPARTNERS AND REGIONS HOSPITAL SYSTEMATICALLY COLLECT DATA ON RACE, ETHNICITY AND LANGUAGE PREFERENCES DIRECTLY FROM PATIENTS AND MEMBERS IN A VARIETY OF WAYS, ALL OF THEM VOLUNTARY. DATA IS USED TO CONTINUALLY MONITOR THE QUALITY OF CARE DELIVERED AND PATIENT EXPERIENCE BY RACE AND LANGUAGE IN ORDER TO ADDRESS IDENTIFIED HEALTH DISPARITIES IN TREATMENT, OUTCOMES AND SERVICE. FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS RESPONSIBILITY FOR MONITORING DISPARITY DATA LIES WITH THE INTERDISCIPLINARY REGIONS HOSPITAL HEALTH EQUITY COMMITTEE AS WELL AS WITH LEADERS IN OUR QUALITY AND EXPERIENCE DEPARTMENTS. IN 2022, THE COMMITTEE FOCUSED ON: 1. WORKING WITH LEADERS TO INCLUDE DIVERSITY, EQUITY, AND INCLUSION GOALS INTO THEIR ANNUAL PLANS. 2. ADDRESSING DISPARITIES BY RACE IN PATIENT EXPERIENCE. 3. ACTIVELY ADDRESSING FOOD INSECURITY IN OUR COMMUNITY AS PART OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN. 4. MAINTAINING REDUCTION IN AFRICAN AMERICAN DUAL ELIGIBLE READMISSIONS. 5. INCREASING AWARENESS OF DIVERSITY, EQUITY, INCLUSION AND ANTI-RACISM THROUGH AN INTERNAL AND EXTERNAL COMMUNICATION PLAN 6. INTEGRATING MEDICAL RESIDENTS INTO REGIONS' STRATEGY TO ELIMINATE HEALTH CARE DISPARITIES. FINANCIAL COUNSELING: TO SECURE ACCESS TO ONGOING MEDICAL CARE, AND TO MITIGATE CHARITY CARE WRITE-OFFS, REGIONS HOSPITAL ESTABLISHED A FINANCIAL COUNSELING PROGRAM IN 1995. SINCE THEN, THE PROGRAM HAS BEEN IMPLEMENTED THROUGHOUT REGIONS HOSPITAL, TO INCLUDE THE EMERGENCY DEPARTMENT AND REGIONS-BASED OUTPATIENT CLINICS. IN 2022, REGIONS HOSPITAL EMPLOYED, 15 PATIENT FINANCIAL COUNSELORS (PFC), 21 REGISTRATION FINANCIAL SPECIALISTS (RFS), 2 FINANCIAL COUNSELING TEAM LEADS AND A RAMSEY COUNTRY WORKER DEDICATED TO HELP PATIENTS ENROLL IN GOVERNMENT PROGRAMS OR FIND OTHER SOURCES OF COVERAGE. SPECIFICALLY, THE PFCS AND RFSS CAN SCREEN PATIENTS FOR ELIGIBILITY FOR AVAILABLE PROGRAMS AND OFFER ASSISTANCE COMPLETING APPLICATIONS WITH MINNESOTA HEALTH CARE PROGRAMS, REGIONS HOSPITAL MEDICAL ASSISTANCE/CHARITY CARE APPLICATIONS, AND SETTING UP PAYMENT PLANS. THE REGIONS HOSPITAL EMERGENCY DEPARTMENT PROVIDES FINANCIAL COUNSELING 24 HOURS A DAY, 7 DAYS A WEEK, WHILE THE INPATIENT UNITS DEPARTMENTS PROVIDE COUNSELING SEVEN DAYS A WEEK DURING NORMAL BUSINESS HOURS. CLINIC-BASED FINANCIAL COUNSELING IS ALSO AVAILABLE DURING NORMAL BUSINESS HOURS. IN 2014, PFSS AND RFSS WERE ALSO ENROLLED AS CERTIFIED APPLICATION COUNSELORS WITH THE MNSURE INSURANCE EXCHANGE, ALLOWING THEM THE ABILITY TO FURTHER ASSIST IN ENROLLING IN MINNESOTA MA, MINNESOTACARE AND QUALIFIED HEALTH PLANS VIA THE STATE INSURANCE EXCHANGE. IN 2022 WE HAVE MAINTAINED THE CERTIFIED APPLICATION COUNSELORS STATUS WITH ALL STAFF AND CONTINUE TO ONBOARD NEW PFC'S AND RFS'S WITH THIS CERTIFICATION. IN LATE 2016 REGIONS HOSPITAL ALSO STARTED PARTICIPATING AS A MEDICAID PRESUMPTIVE ELIGIBILITY PROVIDER. THIS MEANT THE REGISTRATION AND FINANCIAL COUNSELING STAFF COMPLETED ADDITIONAL TRAINING ON SCREENING INDIVIDUALS FOR PRESUMPTIVE ELIGIBILITY WHICH PROVIDES PATIENTS WITH A TEMPORARY FORM OF MEDICAID ON DATE OF SERVICE. IN 2022 REGIONS HOSPITAL COMPLETED 154 PRESUMPTIVE ELIGIBILITY APPLICATIONS FOR PATIENTS WITH NO HEALTH INSURANCE COVERAGE. DESPITE PPE CHALLENGES AND NAVIGATING VARIOUS CHANGES IN OPERATIONAL WORKFLOWS DUE TO THE COVID PANDEMIC, IN 2022, PFCS AND RFSS COMPLETED 2,148 APPLICATIONS, SUCCESSFULLY ENROLLING 1,648 INDIVIDUALS IN GOVERNMENT HEALTH CARE PROGRAMS. THIS PROVIDED APPROXIMATELY $ 3.2 MILLION TO REGIONS FOR CARE THAT OTHERWISE WOULD HAVE BEEN CONSIDERED CHARITY CARE. FOR 2022, THE MINNESOTA HEALTH CARE PROGRAMS APPLICATION BREAKDOWN WAS AS FOLLOWS: IN THE EMERGENCY DEPARTMENT AND OUTPATIENT CLINICS, 621 APPLICATIONS WERE SUCCESSFULLY OPENED; FOR INPATIENT UNITS, 1,027 APPLICATIONS WERE SUCCESSFULLY OPENED. WE ANTICIPATE HIGHER VOLUMES IN 2023 WITH THE PHE (PUBLIC HEALTH EMERGENCY) ENDING AS PATIENTS WILL NOW HAVE TO RENEW COVERAGES WHICH MEANS AN INCREASE IN APPLICATIONS BEING COMPLETED. EMERGENCY PREPAREDNESS: REGIONS HOSPITAL IS A LEADER IN EMERGENCY MANAGEMENT FOR THE EAST METRO. AS THE ONLY LEVEL 1 ADULT AND PEDIATRIC TRAUMA CENTER IN THE EAST METRO REGIONS HOSPITAL STAFF ARE PREPARED FOR ANY SITUATION THAT MAY ARISE AND COLLABORATE WITH OTHER HOSPITALS AND PUBLIC SAFETY OFFICIALS TO ENSURE THAT PLANNING AND RESPONSE PLANS ARE INTEGRATED. PHYSICIANS FROM REGIONS HOSPITAL EMS PROVIDE MEDICAL DIRECTION TO MANY FIRST RESPONSE AGENCIES IN THE EAST METRO FROM THE LARGE, URBAN ST. PAUL FIRE DEPARTMENT TO THE MORE RURAL, VOLUNTEER ST. CROIX VALLEY FIRE DEPARTMENT IN AFTON, MN. REGIONSHOSPITAL'S PARTICIPATION IN AN INSPECTION CONDUCTED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES RECEIVED HIGH MARKS FOR EMERGENCY MANAGEMENT AND OVERALL PLAN OF SUSTAINABILITY. REGIONS HOSPITAL EMERGENCY MEDICINE PHYSICIANS PROVIDE CONSULTATION TO EMS SERVICES THROUGHOUT MN VIA THE EAST METRO MEDICAL RESOURCE CONTROL CENTER (EMRCC). THIS PUBLIC-PRIVATE PARTNERSHIP WITH THE MN DEPT. OF PUBLIC SAFETY SERVES AS THE FLIGHT CONTROL CENTER FOR AMBULANCES INBOUND TO ED'S THROUGHOUT THE METRO REGION OF MN. IN ADDITION TO ASSISTING EMS CREWS WITH PHYSICIAN CONSULTATION, EMRCC IS TASKED WITH DEPLOYING FEDERAL CHEMPACK ASSETS IN THE EVENT OF A NERVE AGENT RELEASE, DISTRIBUTING AMBULANCES IN THE EVENT OF A MASS CASUALTY INCIDENT AND PROVIDING REAL TIME SITUATIONAL AWARENESS OF EVOLVING CLINICAL TRENDS. THE LATTER FUNCTION HAS LED TO THE RAPID IDENTIFICATION OF CLUSTERS OF DRUG OVERDOSES LATER LINKED TO SYNTHETIC OPIOIDS. IN THESE CASES OUR PARTNERSHIP WITH LOCAL LAW ENFORCEMENT AND PUBLIC HEALTH LED TO NEWS RELEASES TO NOTIFY THE PUBLIC OF THE ACUTE RISK IN AN ATTEMPT TO MITIGATE FURTHER CITIZEN HARM. REGIONS HOSPITAL HAS A DECONTAMINATION SITE READY TO HANDLE ANY MAJOR EVENT. REGIONS HOSPITAL CAN DECONTAMINATE UP TO 10 AMBULATORY AND 5 NON-AMBULATORY PATIENTS IN THE EVENT OF BIOLOGICAL, CHEMICAL OR NUCLEAR INCIDENTS AND IS COMPLETELY COMPLIANT WITH THE OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION. OUR CHEMICAL DECONTAMINATION CAPABILITIES ARE TESTED ANNUALLY IN CONJUNCTION WITH A MASS CASUALTY DRILL THAT INVOLVES OUR COMMUNITY PARTNERS AND PUBLIC SAFETY AGENCIES. WE ARE ALSO THE DESIGNATED TRAUMA CENTER FOR RADIOLOGICAL EMERGENCIES ARISING FROM XCEL'S PRAIRIE ISLAND NUCLEAR POWER PLANT AND OUR ABILITY TO TREAT THIS UNIQUE POPULATION IS VERIFIED IN PERSON EVERY TWO YEARS BY MN HOMELAND SECURITY AND EMERGENCY MANAGEMENT. REGIONS HOSPITAL IS A MEMBER OF THE METROPOLITAN HOSPITAL COMPACT, ALONG WITH 31 OTHER TWIN CITIES HOSPITALS. REGIONS HOSPITAL HAS PLAYED A VITAL ROLE IN THE DEVELOPMENT OF COMMUNITY WIDE PLANNING TO IMPROVE EMERGENCY MANAGEMENT THROUGHOUT HEALTH CARE AND ESTABLISH INTERFACING WITH PUBLIC SAFETY, INCLUDING CITY AND COUNTY EMERGENCY MANAGERS. A SPECIFIC RECENT EXAMPLE OF OUR LEADERSHIP IN THIS REALM WAS REGIONS HOPITAL'S ABILITY TO COORDINATE A METRO WIDE ELIMINATION OF AMBULANCE DIVERT AT THE HEIGHT OF THE COVID PANDEMIC. ADDITIONALLY, REGIONS HOSPITAL COLLABORATES WITH CITY, COUNTY AND STATE PUBLIC HEALTH OFFICIALS TO PLAN APPROPRIATELY FOR PANDEMIC EVENTS. REGIONS HOSPITAL IS A DESIGNATED CLOSED POD DISPENSING (CPD) SITE. A CPD IS AN ANTIBIOTIC DISPENSING SITE FOR ANTHRAX PROPHYLAXIS WHEN THERE IS AN IMMEDIATE THREAT OR KNOWN EXPOSURE TO THE PUBLIC. REGIONS HOSPITAL STOOD UP THEIR INCIDENT COMMAND STRUCTURE MARCH 2020 IN RESPONSE TO COVID-19 TO HELP NAVIGATE THE COORDINATION OF LOCAL, REGIONAL, AND STATE RESPONSE PLANS. THE PANDEMIC CAUSED SEVERE SUPPLY CHAIN DISRUPTIONS, STAFFING AND SPACE CHALLENGES, AND HIGH BED CAPACITY WITH ALL HOSPITALS WITHIN THE STATE. THE INCIDENT COMMAND TEAM WAS COMMITTED TO ALL FOUR (4) PHASES OF EMERGENCY MANAGEMENT (PLANNING, RESPONSE, RECOVERY, AND MITIGATION) AND PROVIDING CONTINUITY OF EXCEPTIONAL CARE TO OUR PATIENTS. MULTILINGUAL HEALTH RESOURCES EXCHANGE: THE MULTILINGUAL HEALTH RESOURCES EXCHANGE (EXCHANGE) IS A COLLABORATION AMONG MANY MINNESOTA ORGANIZATIONS (INCLUDING HOSPITALS, CLINIC SYSTEMS, HEALTH PLANS, PUBLIC HEALTH AGENCIES AND COMMUNITY GROUPS) TO SHARE TRANSLATED HEALTH MATERIALS AND INFORMATION TO MEET THE HEALTH EDUCATION AND INFORMATION NEEDS OF PEOPLE WITH LIMITED ENGLISH PROFICIENCY. REGIONS HOSPITAL WAS INSTRUMENTAL IN STARTING THE EXCHANGE IN 2001. MEMBERS OF THE EXCHANGE CONTRIBUTE MATERIALS TRANSLATED BY THEIR ORGANIZATION TO THE EXCHANGE WEBSITE (WWW.HEALTH-EXCHANGE.NET), WHERE ALL PARTNER ORGANIZATIONS CAN DOWNLOAD THEM FOR USE WITH THEIR CLIENTS AND PATIENTS. THIS GREATLY INCREASES THE AMOUNT OF HEALTH EDUCATION AVAILABLE IN LANGUAGES OTHER THAN ENGLISH FOR ALL PARTICIPATING ORGANIZATIONS. FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS HEALTH PROFESSION EDUCATION: REGIONS HOSPITAL IS A MAJOR TEACHING HOSPITAL IN MINNESOTA, TRAINING FELLOW AND RESIDENT PHYSICIANS AND ADVANCED PRACTICE CLINICIANS, AS WELL AS MEDICAL AND ADVANCED PRACTICE STUDENTS FROM ACROSS THE STATE. IN PARTNERSHIP WITH THE HEALTHPARTNERS INSTITUTE, THE UNIVERSITY OF MINNESOTA MEDICAL SCHOOL AND HENNEPIN HEALTHCARE, REGIONS HOSPITAL TRAINS MORE THAN 600 RESIDENT PHYSICIANS (160 FTES) FROM 30 DIFFERENT TRAINING PROGRAMS ANNUALLY. AREAS OF RESIDENCY AND FELLOWSHIP TRAINING INCLUDED: ANESTHESIA, EMERGENCY MEDICAL SERVICES, EMERGENCY MEDICINE, FAMILY MEDICINE, FOOT & ANKLE SURGERY, HAND SURGERY, INTERNAL MEDICINE AND MEDICAL SUBSPECIALTIES (SUCH AS GASTROENTEROLOGY, CARDIOLOGY, ETC.), NEUROLOGY, OBSTETRICS & GYNECOLOGY, OCCUPATIONAL MEDICINE, ORTHOPEDICS, OTOLARYNGOLOGY, PEDIATRIC EMERGENCY MEDICINE, PLASTIC SURGERY, SURGERY AND UROLOGY. IN ADDITION, THE FACULTY FROM REGIONS HOSPITAL AND HEALTHPARTNERS CLINICS TEACH AND SUPPORT 300+ MEDICAL STUDENT CLINICAL ROTATIONS AND 200+ NURSE PRACTITIONER AND PHYSICIAN ASSISTANT STUDENT CLINICAL ROTATIONS. RESIDENT PHYSICIANS AND STUDENTS PROVIDED CARE IN MANY HIGH-INTENSITY AREAS OF REGIONS HOSPITAL, INCLUDING THE EMERGENCY DEPARTMENT, INTENSIVE CARE, SURGICAL SUITES AND MEDICAL PATIENT UNITS. THEY PROVIDE CARE FOR PATIENTS FROM UNDERSERVED AND DISADVANTAGED COMMUNITIES. RESIDENTS AND STUDENTS CONTRIBUTED TO MEDICAL RESEARCH, QUALITY AND PATIENT SAFETY INITIATIVES, AND THE ACADEMIC ENVIRONMENT THAT SUSTAINS REGIONS HOSPITAL'S AND HEALTHPARTNERS' CUTTING-EDGE APPROACH TO CARE. THE OFFICE OF HEALTH PROFESSIONAL EDUCATION (OHPE) AT REGIONS HOSPITAL, A BRANCH OF THE HEALTHPARTNERS INSTITUTE, MANAGES ALL MEDICAL AND ADVANCED PRACTICE STUDENT AND GRADUATE MEDICAL EDUCATIONAL ACTIVITIES ACROSS THE HEALTHPARTNERS SYSTEM, INCLUDING MANAGING TRAINING CONTRACTS AND INSTITUTIONAL AFFILIATION AGREEMENTS, AND FACILITATING CLINICAL ROTATIONS AND OBSERVATIONS FOR MANY PROSPECTIVE AND CURRENT STUDENTS IN MEDICAL EDUCATION PROGRAMS. OHPE ALSO OVERSEES AND ENSURES COMPLIANCE WITH INSTITUTIONAL AND PROGRAM REQUIREMENTS OF THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) AND COUNCIL OF PODIATRIC MEDICAL EDUCATION (CPME). OHPE FURTHER ENSURES COMPLIANCE WITH POLICIES AND PROCEDURES AND MANAGES ALL OPERATIONAL ASPECTS OF THE UNDERGRADUATE AND GME TRAINING ACTIVITIES AT THE VARIOUS CLINICS AND HOSPITALS IN THE HEALTHPARTNERS SYSTEM. EMERGENCY MEDICAL SERVICES (EMS): REGIONS HOSPITAL EMS DELIVERS 24-HOUR MEDICAL DIRECTION AND CONSULTATION TO A DIVERSE GROUP OF PRE-HOSPITAL PROVIDERS IN MINNESOTA AND WESTERN WISCONSIN. ONE UNIQUE WAY IS BY PROVIDING A CUSTOMIZED RESOURCE DIRECTORY. THIS DIRECTORY INCLUDES BEST PRACTICE GUIDELINES AND STATE REGULATIONS, ALONG WITH A CUSTOMIZED MEDICAL DIRECTION PLAN FOR EACH ORGANIZATION BASED ON ITS LOCAL RESOURCES AND ENVIRONMENT. THE DEPARTMENT CURRENTLY REPRESENTS 18 SERVICES WITH 1,500 PROVIDERS, INCLUDING RURAL VOLUNTEER FIREFIGHTERS AND EMERGENCY MEDICAL TECHNICIANS, URBAN PARAMEDICS AND SUBURBAN PUBLIC SAFETY PERSONNEL. COMMUNITY PARAMEDIC AND HOSPITAL@HOME: REGIONS HOSPITAL HAS A COMMUNITY PARAMEDICINE PROGRAM TO SUPPORT PATIENTS IN THEIR HOME AFTER A VISIT THE HOSPITAL, AND TO SERVE OUR GROWING HOSPITAL@HOME PROGRAM. THE COMMUNITY PARAMEDIC, UNDER THE ORDERS OF A PHYSICIAN, WILL MAKE ONE OR MORE HOME VISITS TO PROVIDE ACUTE MEDICAL CARE, MEDICATION ADMINISTRATION, LAB SAMPLE COLLECTION, PATIENT EDUCATION, AND PREVENT UNNECESSARY HOSPITAL READMISSIONS AND EMERGENCY DEPARTMENT RETURN VISITS. THESE HOME VISITS ALSO INCLUDE PHYSICAL ASSESSMENTS, MEDICATION RECONCILIATION, EDUCATION, HOME SAFETY ASSESSMENT AND CONNECTIONS TO COMMUNITY AND HEALTH CARE RESOURCES. IN 2021, THE COMMUNITY PARAMEDICINE PROGRAM SERVED 557 PATIENTS OF WHICH 247 WERE ADMITTED TO OUR HOSPITAL@HOME PROGRAM. THE TEAM COMPLETED 2256 HOME VISITS IN TOTAL. PARTICIPANTS HAD AN ESTIMATED 1,608 FEWER HOSPITAL DAYS WHEN COMPARED TO A MATCHED GROUP WITHIN THE SYSTEM. MUCH OF THE PROGRESS AND GROWTH EXPERIENCED BY THE COMMUNITY PARAMEDICINE PROGRAM RESULTED FROM ITS RESPONSE TO THE COVID-19 PANDEMIC AND THE IMPLEMENTATION OF A ROBUST HOSPITAL@HOME PROGRAM. LIFE LINK III: REGIONS HOSPITAL IS A CORPORATE MEMBER (ALONG WITH NINE OTHER LOCAL AND/OR REGIONAL HEALTH SYSTEMS) OF LIFE LINK III, A CRITICAL CARE TRANSPORT SERVICE THAT PROVIDES HELICOPTER AND AIRPLANE OPTIONS TO THE MOST SEVERELY ILL AND INJURED TRAUMA PATIENTS. BY COLLABORATING ACROSS THE COMMUNITY AND GREATER REGION, THESE AREA HEALTH CARE SYSTEMS AVOID DUPLICATION OF EXPENSIVE AIR TRANSPORT SERVICES, THEREBY REDUCING THE COST OF HEALTH CARE. EAST MEDICAL RESOURCE CONTROL CENTER (EMRCC): EMRCC SERVES AS THE ONLINE TRIAGE LIAISON BETWEEN EMERGENCY MEDICAL SERVICES (EMS) AMBULANCE CREWS AND DESTINATION HOSPITALS. EMRCC PROVIDES MEDICAL CONTROL COMMUNICATIONS TO AMBULANCE SERVICES AND PRE-HOSPITAL EMERGENCY CARE PROVIDERS IN THE EAST METRO COUNTIES OF DAKOTA, RAMSEY AND WASHINGTON IN MINNESOTA AND AREAS OF WESTERN WISCONSIN. EMRCC IS IN CONTACT WITH METRO AREA EMERGENCY DEPARTMENTS. THE COMMUNICATIONS CENTER ITSELF IS LOCATED IN REGIONS HOSPITAL EMERGENCY CENTER. EMRCC STAFF PROVIDES AMBULANCE PERSONNEL WITH A SINGLE CONTACT POINT FOR RELAYING PATIENT INFORMATION, AN EMS GUIDELINE RESOURCE, SYSTEM HOSPITAL DIVERSION INFORMATION AND MEDICAL RESOURCE ACCESS, COORDINATION OF MASS CASUALTIES, CONTINUOUS QUALITY IMPROVEMENT (CQI) AND EMS CALL DATA COLLECTION. GIVEN ITS CRISIS PLANNING AND ITS RELATIONSHIPS WITH SIMILAR AGENCIES AND THE STATE OF MINNESOTA, THE EMRCC WAS ABLE TO REACT WELL TO BOTH THE PANDEMIC AND CIVIL UNREST. AS A RECOGNIZED VITAL COMMUNITY RESOURCE, REGIONS HOSPITAL MAINTAINED SUPPORT FOR THE EMRCC AFTER STATE FUNDING WAS DISCONTINUED. IN 2022, THE EMRCC RESPONDED TO 81,900 TELEPHONE AND RADIO CALLS. BURN AND TRAUMA SERVICES: REGIONS HOSPITAL IS THE ONLY EAST METRO LEVEL I ADULT AND LEVEL I PEDIATRIC TRAUMA CENTER, AND ONE OF TWO VERIFIED ADULT AND PEDIATRIC BURN CENTERS IN THE STATE. THE TRAUMA PROGRAM TRACKS BURN AND TRAUMA-RELATED INJURIES FOR EACH SPECIFIC REGISTRY USED FOR PERFORMANCE IMPROVEMENT, QUALITY ASSURANCE AND PUBLIC HEALTH REPORTING. THE BURN CENTER AND THE TRAUMA CENTER ARE EACH VERIFIED BY THE AMERICAN COLLEGE OF SURGEONS, AS A LEVEL I ADULT TRAUMA CENTER AND A LEVEL I PEDIATRIC TRAUMA CENTER AND THE AMERICAN BURN ASSOCIATION AS A VERIFIED ADULT AND PEDIATRIC BURN CENTER. REGIONS HOSPITAL BURN CENTER PROVIDES REGIONAL BURN CARE IN THE UPPER MIDWEST. IT HAS PROVEN SUCCESS WITH ITS TELEMEDICINE PROGRAM AVAILABLE FOR INITIAL AND ON-GOING CARE. THIS SERVICE IMMEDIATELY ASSISTS RURAL PHYSICIANS MANAGING AN UNCOMMON EMERGENCY - THE CRITICALLY INJURED BURN PATIENT PRIOR TO TRANSFERRING THE PATIENT TO THE BURN CENTER. WHEN THE PATIENT RETURNS TO THEIR COMMUNITY, SOMETIMES FOLLOW-UP CARE CAN BE MANAGED VIA TELEMEDICINE IN COLLABORATION WITH THE PATIENT'S PRIMARY CARE PROVIDER. THIS LEADS TO A REDUCTION IN TIME, EXPENSE AND ANXIETY FOR THE PATIENT AND THEIR FAMILY. MINNESOTA STATE TRAUMA SYSTEM: REGIONS HOSPITAL IS REPRESENTED ON THE MINNESOTA STATE TRAUMA ADVISORY COUNCIL (STAC). DR. MICHAEL MCGONIGAL, REGIONS HOSPITAL TRAUMA AND ACUTE CARE SURGEON, SERVES AS ITS CHAIR ALONG WITH DR. AARON BURNETT, REGIONS HOSPITAL EMS PHYSICIAN AND THE MN STATE EMS MEDICAL DIRECTOR. REGIONS HOSPITAL STAFF PARTICIPATED IN SUBCOMMITTEES ASSOCIATED WITH STAC, INCLUDING THE INJURY PREVENTION AND DATA ELEMENTS. TRAUMA LEADERSHIP PROVIDES A CONSULTATIVE ROLE TO HOSPITALS IN MINNESOTA BY HELPING THEM PREPARE FOR THEIR STATE TRAUMA SYSTEM HOSPITAL VERIFICATION SITE REVIEWS. THIS IS A SERVICE PROVIDED TO THE FACILITIES AT NO COST. IN ADDITION, THE MEDICAL DIRECTOR OF TRAUMA SERVICES, DIRECTOR OF TRAUMA AND BURN PROGRAMS, AND PEDIATRIC TRAUMA PROGRAM MANAGER CONDUCT STATE TRAUMA SYSTEM HOSPITAL SITE VISITS FOR TRAUMA DESIGNATION. ADDITIONALLY, REGIONS HOSPITAL PROVIDES REPRESENTATION ON THE MINNESOTA - METRO REGION TRAUMA ADVISORY COMMITTEE THAT REPORTS TO STAC. MINNESOTA METRO REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC): THE MN-METRO RTAC SYSTEM COORDINATES WITH THE METRO AREAS ADULT AND PEDIATRIC TRAUMA CENTERS TO TREAT SEVERE TRAUMA PATIENTS FROM RAMSEY, WASHINGTON, SCOTT, DAKOTA, HENNEPIN, WRIGHT, CARVER AND ANOKA COUNTIES IN MINNESOTA. DR. PATEI IYEGHA, DIRECTOR OF TRAUMA SERVICES, REGIONS HOSPITAL, IS A MEMBER OF THE RTAC. FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS WISCONSIN REGIONAL TRAUMA ADVISORY COMMITTEE REGION 1 SUBCOMMITTEE: REGIONS HOSPITAL IS AN ACTIVE MEMBER OF THE WISCONSIN REGIONAL TRAUMA ADVISORY COMMITTEE (RTAC), WHICH WAS CREATED TO SERVE AS THE REGIONAL TRAUMA SYSTEM FOR A PORTION OF THE WESTERN WISCONSIN REGION. THE SYSTEM COORDINATES WITH REGIONS HOSPITAL AS THE AREA'S ONLY LEVEL I ADULT AND LEVEL I PEDIATRIC TRAUMA CENTERS TO TREAT SEVERE TRAUMA PATIENTS FROM PIERCE, POLK AND ST. CROIX COUNTIES IN WISCONSIN. REGIONS HOSPITAL TRAUMA OUTREACH COORDINATOR ACTS AS THE CHAIRPERSON FOR THE REGION 1 SUBCOMMITTEE. IN ADDITION, TRAUMA MEDICAL LEADERSHIP PROVIDES A CONSULTATIVE ROLE TO HOSPITALS IN WISCONSIN BY HELPING THEM PREPARE FOR THEIR STATE TRAUMA SYSTEM HOSPITAL VERIFICATION SITE REVIEWS. THIS IS A SERVICE PROVIDED TO THE FACILITIES AT NO COST. ADDITIONALLY, REGIONS HOSPITAL STAFF PARTICIPATED IN TRAUMA AND EMERGENCY CONFERENCES SUCH AS LOCAL AND REGIONAL EMERGENCY NURSING ASSOCIATION CONFERENCES, EMS AND TRAUMA EDUCATION. SEVERAL COMMUNITY GRAND ROUND EDUCATIONAL EVENTS ARE PROVIDED BY PROFESSIONAL STAFF. SEXUAL ASSAULT NURSE EXAMINER: REGIONS HOSPITAL SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM IS A TEAM OF SPECIALLY TRAINED NURSES THAT PROVIDE COMPREHENSIVE, COMPASSIONATE CARE TO VICTIMS OF SEXUAL ASSAULT, AGE 13 AND OLDER. OUR PROGRAM WAS FOUNDED IN 2002 IN THE YEARS SINCE TO INCLUDE LAKEVIEW HOSPITAL (2011) AND THREE M HEALTH FAIRVIEW LOCATIONS; WOODWINDS, ST. JOSEPH'S AND ST. JOHN'S (2013). RESPONSE TO ST. JOSEPH'S ENDED IN 2022 WHEN THE FACILITY CLOSED. IN 2022 WE RESPONDED TO 397 PATIENTS AMONGST ALL OF OUR LOCATIONS. THIS WAS AN INCREASE FROM THE 296 PATIENTS WE SAW IN 2021. OUR TEAM IS COMPRISED OF OUR MEDICAL DIRECTOR, DR. AMY DOOLEY, SUPERVISOR, MELISSA JACKSON, EDUCATOR, ELLEN JOHNSON AND 21 PER-DIEM SANES (INCLUDING MELISSA AND ELLEN) TAKING CALL TO PROVIDE A 24/7 RESPONSE TO HOSPITALS. WE PARTNER CLOSELY WITH TWO ADVOCACY AGENCIES TO ENSURE OUR PATIENTS RECEIVE ADDITIONAL CRISIS SUPPORT DURING AN EXAM AND HAVE ACCESS TO RESOURCES AFTER DISCHARGE. RAMSEY COUNTY SEXUAL VIOLENCE SERVICES (SOS) RESPONDS TO OUR TWO RAMSEY COUNTY SITES, REGIONS AND ST. JOHN'S, AND CANVAS HEALTH IS OUR PARTNER FOR OUR WASHINGTON COUNTY SITES, LAKEVIEW AND WOODWINDS. ADVOCATES ARE AVAILABLE IN PERSON TO RESPOND TO THE HOSPITAL DURING EXAMS. ELLEN JOHNSON CONDUCTED TWO VOLUNTEER ADVOCATE TRAININGS AT REGIONS AS PART OF THEIR SOS ORIENTATION THIS PAST YEAR. IN 2022 WE CONDUCTED 33 FORENSIC SUSPECT EXAMS IN COORDINATION WITH RAMSEY COUNTY SEX CRIMES INVESTIGATORS. THIS PROCESS REQUIRES CONTINUAL COLLABORATION BETWEEN OUR PROGRAM AND ALL AGENCIES. TO SUPPORT THIS, WE FACILITATED THREE TRAININGS IN 2022 FOR THE SEX CRIMES INVESTIGATORS WE WORK WITH. WE CONTINUED THIS PAST YEAR WITH THE BEST-PRACTICE GUIDELINE IMPLEMENTED IN 2021 OF CONDUCTING THESE EXAMS OUTSIDE OF THE HOSPITAL. EXAMS ARE PRIMARILY DONE AT THE RAMSEY COUNTY LAW ENFORCEMENT CENTER TO BEST SUPPORT OUR HOSPITAL AND COMMUNITY. BENEFITS INCLUDE IMPROVED VICTIM SAFETY DURING EXAMS, SUPPORT OF REGIONS EMERGENCY DEPARTMENT'S HIGH PATIENT VOLUMES DURING THE PANDEMIC, COMMUNITY SAFETY BY LIMITING TRANSPORT OF SUSPECTS BETWEEN THE LEC AND HOSPITAL, AND SUPPORT OF INVESTIGATOR'S WORKFLOW AS THIS PROCESS TAKES EXTENSIVE TIME TO EXECUTE. OUR PROGRAM IS INVOLVED IN MANY MULTI-DISCIPLINARY TEAMS WITHIN RAMSEY AND WASHINGTON COUNTY TO BEST SUPPORT A COORDINATED RESPONSE TO VICTIM/SURVIVORS OF SEXUAL ASSAULT, INCLUDING: RAMSEY CO. SEXUAL ASSAULT PROTOCOL TEAM (RCSAPT) RAMSEY CO. CRIMINAL SEXUAL CONDUCT (CSC) WORK GROUP, FORMERLY THE IMPLEMENTATION PLAN FOR SYSTEMS CHANGE RAMSEY CO. SEXUALLY EXPLOITED YOUTH PROTOCOL TEAM RCSAPT COLLEGES SUBCOMMITTEE WASHINGTON CO. SEXUALLY EXPLOITED YOUTH MULTI-DISCIPLINARY TEAM WASHINGTON CO SEXUAL ASSAULT RESPONSE TEAM (CURRENTLY ON HOLD DUE TO LEADERSHIP CHANGES) WITHIN THESE MULTI-DISCIPLINARY TEAMS, THERE IS A LOT OF EDUCATION AND COLLABORATION THAT OCCURS OUTSIDE OF THE DESIGNATED MEETING TIMES. IN 2022 ELLEN JOHNSON PROVIDED EDUCATION FOR THE TWO POLICE ACADEMIES THAT ALL NEW ST. PAUL POLICE DEPT. OFFICERS ARE REQUIRED TO COMPLETE, AND MELISSA JACKSON PROVIDED EDUCATION FOR TWO RAMSEY COUNTY SEX CRIMES INVESTIGATOR TRAININGS. EDUCATION INCLUDES DISCUSSING THE ROLE OF THE SANE, MEDICAL FORENSIC (SANE) EXAMS, FORENSIC SUSPECT EXAMS AND TRAUMA-INFORMED COMMUNICATION. MENTAL HEALTH SERVICES: REGIONS HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT IS THE LEADING PROVIDER OF COMPREHENSIVE MENTAL HEALTH AND SUBSTANCE USE DISORDER TREATMENT SERVICES IN THE TWIN CITIES EAST METRO AREA AND WESTERN WISCONSIN. REGIONS HOSPITAL OPERATES A 120-BED, ALL PRIVATE ROOM, ACUTE ADULT INPATIENT PSYCHIATRIC FACILITY. REGIONS HOSPITAL ALSO HAS A DEDICATED AREA IN OUR EMERGENCY DEPARTMENT TO SAFELY ASSESS AND PROVIDE CARE FOR THOSE PATIENTS WHO PRESENT WITH MENTAL HEALTH CARE NEEDS. REGIONS HOSPITAL ALSO OPERATES A PARTIAL HOSPITALIZATION PROGRAM FOR ADULTS THAT ARE 18 YEARS AND OLDER WHO NEED INTENSIVE THERAPY BUT CAN SAFELY LIVE AT HOME WITH THE SUPPORT OF FAMILY AND FRIENDS. IN ADDITION, REGIONS HOSPITAL WORKS WITH: HOVANDER HOUSE: HOVANDER HOUSE OPENED IN 2003 AS A SHORT-TERM CRISIS STABILIZATION PROGRAM SERVING INDIVIDUALS WITH MENTAL ILLNESS AND OR SUBSTANCE USE PROBLEMS. HOVANDER HOUSE IS DESIGNED TO HELP INDIVIDUALS EXPERIENCING A CRISIS AND AVOID HOSPITALIZATION BY PROVIDING INTERVENTIONS TO RESTORE TO PRE-CRISIS STABILIZATION AND TRANSITION BACK TO THEIR COMMUNITY. HOVANDER HOUSE IS STAFFED BY MENTAL HEALTH PROFESSIONALS AND PRACTITIONERS AND CAN ACCOMMODATE UP TO NINE ADULTS AT ONE TIME. DUE TO COVID, IN MARCH OF 2020 THE NUMBER OF RESIDENTS WAS REDUCED TO SIX ADULTS SO EACH COULD BE ACCOMMODATED IN A PRIVATE ROOM AND THIS CENSUS CAP CONTINUED THROUGH 2022. IN 2022, HOVANDER HOUSE SERVED 159 ADULTS WITH AN AVERAGE LENGTH OF STAY OF 7.2 DAYS. APPROXIMATELY 12 PERCENT OF PATIENTS REFERRED TO HOVANDER HOUSE DID NOT HAVE INSURANCE. IN ADDITION TO HELPING PATIENTS TRANSITION INTO THE COMMUNITY, HOVANDER HOUSE SAVED AN ESTIMATED 1,145 INPATIENT HOSPITAL DAYS IN 2021. AFTON PLACE: IN 2017 THE REGIONS HOSPITAL BOARD APPROVED THE EXPANSION OF THE CURRENT INTENSIVE RESIDENTIAL TREATMENT SERVICES THROUGH THE PURCHASE AND RENOVATION OF A BUILDING IN MAPLEWOOD, MN. AFTON PLACE OPENED AND BEGAN SERVING PATIENTS IN APRIL 2018. THIS STATE-OF-THE-ART 16-BED FACILITY HAS SINGLE ROOMS, EACH WITH ITS OWN BATHROOM. AN ELEVATOR WAS ADDED TO MAKE THE FACILITY ADA COMPLIANT, AS WAS THE ADDITION OF AN ADA HANDICAP-ASSESSABLE ROOM. THE FACILITY FEATURES TWO SPACIOUS GROUP ROOMS, A SENSORY INTEGRATION ROOM, AND A LARGE OPEN DINING AREA WITH ITS OWN COMMERCIAL KITCHEN. IN MID-SEPTEMBER 2021 THROUGH BEGINNING OF FEBRUARY 2022, AFTON PLACE TEMPORARILY CLOSED DUE TO STAFFING ISSUES. AFTON PLACE RESUMED TREATMENT SERVICES WITH FIRST ADMISSION ON FEBRUARY 2, 2022. SERVICES RESUMED WITH A GRADUAL TRANSITION TO FULL CAPACITY IN NOVEMBER 2022. AFTON PLACE ADMITTED AND SERVED 52 INDIVIDUALS FOR AN AVERAGE LENGTH OF STAY OF 59 DAYS IN 2022. OF THOSE ADMITTED TO AFTON PLACE, 88% CAME FROM THE REGIONS HOSPITAL INPATIENT BEHAVIORAL HEALTH UNIT, THUS ALLOWING ADDITIONAL PATIENTS TO BE ADMITTED FOR ACUTE CARE SERVICES. THIS PARTNERSHIP REDUCED AVOIDABLE DAYS BETWEEN 2021 TO 2022 BY 486 DAYS. SAFE HOUSE: SAFE HOUSE IS A LICENSED INTENSIVE RESIDENTIAL TREATMENT PROGRAM, PROVIDING TREATMENT SERVICES TO INDIVIDUALS WHO EXPERIENCE MENTAL HEALTH AND SUBSTANCE USE PROBLEMS FOR UP TO 90 DAYS. SAFE HOUSE PROVIDED TREATMENT SERVICES TO APPROXIMATELY 38 ADULTS WITH AN AVERAGE LENGTH OF STAY OF 69 DAYS. CATHOLIC CHARITIES DOROTHY DAY CENTER: CATHOLIC CHARITIES' MISSION IS TO SERVE THOSE MOST IN NEED AND TO ADVOCATE FOR JUSTICE IN THE COMMUNITY. THEY ACCOMPLISH THIS BY WORKING IN AND WITH THE BROADER COMMUNITY. CATHOLIC CHARITIES' HIGHER GROUND IN ST. PAUL PROVIDES A MEDICAL RESPITE CENTER FOR THE HOMELESS NEEDING SHELTER WHILE RECOVERING FROM A HOSPITAL STAY. REGIONS HOSPITAL CONTRIBUTED $319,493 IN 2022 TO SUPPORT THIS COMMUNITY SERVICE. DURING 2022, THERE WERE 86 PATIENTS WHO WERE ABLE TO BE DISCHARGED FROM REGIONS HOSPITAL SOONER BECAUSE THEY COULD GO TO THE RESPITE CENTER, WHERE THEY STAYED A TOTAL OF 986 DAYS. FORM 990, PART III, LINE 4A - EXEMPT PURPOSE AND ACHIEVEMENTS COMMUNITY BUILDING ACTIVITIES ENVIRONMENTAL IMPROVEMENTS: REGIONS HOSPITAL CONTINUES TO BE A LEADER IN RECYCLING, RESOURCE CONSERVATION AND WASTE REDUCTION IN ORDER TO BETTER THE LIVES OF OUR PATIENTS, MEMBERS AND STAFF THROUGH SUSTAINABLE PRACTICES. REGIONS HOSPITAL HAS IMPLEMENTED MANY PROGRAMS AROUND HAZARDOUS WASTE REDUCTION BY RECYCLING LABORATORY SOLVENTS AND PREFERENTIALLY PURCHASING ITEMS THAT ARE SAFE FOR THE ENVIRONMENT. IN 2022, REGIONS HOSPITAL DONATED NEARLY 11 TONS OF EQUIPMENT TO LOCAL NON-PROFIT ORGANIZATIONS AND MISSION GROUPS. IN TOTAL, REGIONS HOSPITAL RECYCLED NEARLY 900 TONS OF MATERIALS. REGIONS HOSPITAL ALSO COLLECTED 830 POUNDS OF MEDICATIONS FROM OUR COMMUNITY THROUGH OUR MEDICINE TAKE BACK PROGRAM AND RESPONSIBLY DISPOSED OF IT. REGIONS HOSPITAL FOOD & NUTRITION SERVICES DEPARTMENT ALSO DONATED 5,480 POUNDS OF FOOD TO LOCAL FOOD SHELTERS IN 2022. ADDITIONALLY, OUR COMMUNITY SOLAR GARDEN SUBSCRIPTION AGREEMENT PRODUCED OVER 7.8 MILLION KILOWATT HOURS OF CLEAN RENEWABLE ENERGY AND SAVED US NEARLY $175,000 ON UTILITY BILLS. REGIONS HOSPITAL TAKES ADVANTAGE OF OPPORTUNITIES TO BE MORE SUSTAINABLE WITH RESPECT TO NEW CONSTRUCTION, REMODELS, CHEMICALS AND ENERGY MANAGEMENT. THE REGIONS HOSPITAL SUSTAINABILITY TEAM CONTINUES TO ESTABLISH SPECIFIC GOALS AROUND REDUCTIONS IN WASTE, PAPER USAGE, AND ENERGY CONSUMPTION, AS WELL AS EDUCATING AND ENCOURAGING STAFF TO RECYCLE MORE ACROSS THE ORGANIZATION. IN 2023, REGIONS HOSPITAL HAS RECEIVED A TOP 25 AWARD AND TOP 10 CIRCLE OF EXCELLENCE AWARDS FOR FOOD, ENERGY EFFICIENCY, AND WASTE MINIMIZATION FROM PRACTICE GREEN HEALTH FOR OUR SUSTAINABILITY EFFORTS. NATIONAL RECOGNITION REGIONS HOSPITAL HAS BEEN REGULARLY RECOGNIZED FOR ITS CARE. IN 2022, REGIONS RECEIVED THE FOLLOWING AWARDS AND RECOGNITIONS. HEALTHPARTNERS WAS NAMED TO THE IBM WATSON HEALTH 15 TOP HEALTH SYSTEMS LIST. FOR A CONSECUTIVE YEAR, U.S. NEWS & WORLD REPORT HAS NAMED REGIONS HOSPITAL A 2021-2022 BEST REGIONAL HOSPITAL. RANKED HIGH PERFORMING IN 7 PROCEDURES/CONDITIONS BY U.S. NEWS & WORLD REPORT INCLUDING STROKE, HEART ATTACK, AND HEART & KIDNEY FAILURE. PRACTICE GREENHEALTH 2021 ENVIRONMENTAL EXCELLENCE AWARD LEADERSHIP WASTE CHEMICALS GREENING THE OR FOOD ENERGY WATER CLIMATE FORM 990, PART IV, LINE 24A HEALTHPARTNERS INC., ALONG WITH RELATED ORGANIZATIONS, IS JOINTLY LIABLE FOR THE TAX EXEMPT BONDS HELD BY HEALTHPARTNERS INC. UNDER A MASTER TRUST AGREEMENT. THE MEMBERS OF THE JOINTLY LIABLE GROUP, WHICH IS COLLECTIVELY REFERRED TO AS THE "OBLIGATED GROUP", INCLUDE PARK NICOLLET HEALTH SERVICES, PARK NICOLLET CLINIC, PARK NICOLLET METHODIST HOSPITAL, PNMC HOLDINGS, REGIONS HOSPITAL, PARK NICOLLET HEALTH CARE PRODUCTS, GROUP HEALTH PLAN INC, HEALTHPARTNERS ADMINISTRATORS INC., AND HEALTHPARTNERS INSURANCE COMPANY. IN ADDITION TO THE TAX EXEMPT BONDS LISTED IN THIS SCHEDULE K, THE OTHER OUTSTANDING TAX EXEMPT BONDS OF THE HEALTHPARTNERS OBLIGATED GROUP ARE REPORTED SOLELY ON THE SCHEDULE K OF REGIONS HOSPITAL. FORM 990, PART VI, SECTION A, LINE 6 HPI RAMSEY IS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL. FORM 990, PART VI, SECTION A, LINE 7A HPI-RAMSEY, AS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL, APPOINTS UP TO 12 MEMBERS OF THE UP TO 19 MEMBER BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B HPI RAMSEY, AS THE SOLE CORPORATE MEMBER OF REGIONS HOSPITAL, APPROVES ACTIONS AS FOLLOWS: AMENDMENT OF ARTICLES OR BYLAWS, ANNUAL OPERATING AND CAPITAL BUDGETS AND LONG-RANGE PLANS, UNBUDGETED SPECIAL PROJECTS IN EXCESS OF $1,000,000, GUARANTEEING THE DEBT OF ANY OTHER PERSON OR ENTITY IN EXCESS OF $1,000,000, A LOAN OR OTHER INDEBTEDNESS IN EXCESS OF $1,000,000, MERGER OR CONSOLIDATION WITH ANOTHER CORPORATION, DISPOSITION OF SUBSTANTIALLY ALL ASSETS, DISSOLUTION, APPOINTMENT OF THE CHAIR OF THE BOARD AND PRESIDENT. FORM 990, PART VI, SECTION B, LINE 11B REGIONS HOSPITAL'S 990 RETURN HAS A COMPREHENSIVE REVIEW PROCESS THAT IS FOLLOWED BEFORE IT IS PRESENTED TO THE GOVERNING BODY. THE REVIEW PROCESS INCLUDES A LAYERED REVIEW BY THE TAX DEPARTMENT OF GHI, THE MANAGEMENT TEAM OF REGIONS HOSPITAL, THE ORGANIZATION'S INTERNAL LEGAL DEPARTMENT AND REGIONS HOSPITAL'S OUTSIDE INDEPENDENT ACCOUNTANTS. EACH ONE OF THOSE AREAS HAS AN OPPORTUNITY TO REVIEW, ASK QUESTIONS AND MAKE COMMENTS BACK TO THE TAX DEPARTMENT OF GHI BEFORE THE FORM 990 IS COMPLETED AND PRESENTED TO THE GOVERNING BODY OF REGIONS HOSPITAL. REGIONS HOSPITAL MAKES AVAILABLE, TO THE FINANCE AND AUDIT COMMITTEE OF REGIONS' BOARD OF DIRECTORS AND TO THE FULL BOARD OF DIRECTORS, A COPY OF THE 990 FOR REVIEW AND COMMENT PRIOR TO THE FILING OF THE 990 RETURN. THIS COPY IS PROVIDED TO THE FINANCE AND AUDIT COMMITTEE AND THE FULL BOARD OF DIRECTORS IN A PRE-MEETING PACKET, AND IS AN AGENDA ITEM AT THE COMMITTEE MEETING. THIS PROCESS IS NOTED AND DOCUMENTED IN THE WRITTEN COMMITTEE MINUTES OF THE MEETING. THESE MINUTES ARE PRESENTED TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE REGION'S HOSPITAL BOARD MONITORS POTENTIAL CONFLICTS OF INTEREST ON THE PART OF ITS BOARD MEMBERS, PRINCIPAL OFFICERS, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS, AND KEY EMPLOYEES ("COVERED PERSONS") BY MAINTAINING A CONFLICT OF INTEREST POLICY. UNDER THE POLICY, COVERED PERSONS ANNUALLY ARE PROVIDED WITH A COPY OF THE POLICY AND ASKED TO COMPLETE A QUESTIONNAIRE IDENTIFYING ANY POTENTIAL CONFLICTS OF INTERESTS. THE LEGAL DEPARTMENT OF HEALTHPARTNERS REVIEWS THE QUESTIONNAIRE RESPONSES AND DEVELOPS A REPORT DETAILING ANY POTENTIALLY MATERIAL CONFLICTS FOR THE PRESIDENT AND CHAIR OF THE BOARD. A VERBAL SUMMARY IS ALSO GIVEN TO THE FULL BOARD OR APPROPRIATE COMMITTEE ENDING WITH A REMINDER TO COVERED PERSONS OF THE POLICY'S MANDATE THAT EACH PERSON IS OBLIGATED TO DISCLOSE ANY NEW POTENTIAL CONFLICTS AS THEY MAY ARISE THROUGHOUT THE YEAR. BOARD AGENDAS AND EXECUTIVE DECISIONS ARE MONITORED IN RELATION TO THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 REGIONS HOSPITAL'S PRESIDENT AND ITS OFFICERS ARE EMPLOYED BY EITHER GROUP HEALTH PLAN, INC. (GHI), PARK NICOLLET HEALTH SERVICES (PNHS), BOTH OF WHOM ARE RELATED ORGANIZATIONS, OR BY REGIONS HOSPITAL. GHI, PNHS AND REGIONS HOSPITAL HAVE AN ANNUAL PROCESS TO REVIEW THE MARKET COMPARABILITY OF THE TOTAL COMPENSATION OF THE REGIONS HOSPITAL'S PRESIDENT AND OTHER OFFICERS. EVERY THREE YEARS, THE INDEPENDENT COMPENSATION COMMITTEE OF THE GHI BOARD OF DIRECTORS (THE "COMMITTEE"), RETAINS AN EXTERNAL COMPENSATION EXPERT TO CONDUCT AN EXTENSIVE MARKET COMPARABILITY REVIEW FOR ALL OFFICERS OF THE ORGANIZATION. THE REVIEW INCLUDES ALL COMPONENTS OF TOTAL COMPENSATION: BASE SALARY, ANNUAL INCENTIVES, BENEFITS AND PERQUISITES. THE MARKET SURVEY RESULTS ARE PRESENTED TO, REVIEWED BY AND APPROVED BY THE APPROPRIATE COMMITTEE. BASED ON THIS DATA, EITHER THE EXECUTIVE COMMITTEE OF REGIONS HOSPITAL OR THE COMPENSATION COMMITTEE OF GHI (THE "COMMITTEES") DETERMINE MINIMUM AND MAXIMUM TOTAL COMPENSATION RANGES FOR EACH EMPLOYED OFFICER. IN INTERIM YEARS, GHI'S HUMAN RESOURCES STAFF, UNDER THE COMMITTEES' DIRECTION, UPDATES CHANGES IN THE SALARY STRUCTURE BASED ON THE SAME INDEPENDENT STUDIES PERFORMED BY THE COMPENSATION CONSULTANT FOR THE COMMITTEE. FOR CERTAIN POSITIONS FULL INDEPENDENT REVIEWS ARE PERFORMED TO SET SALARY RANGES BASED ON THE COMPETITIVE MARKET DATA SPECIFIC TO THOSE POSITIONS. THE COMMITTEE REVIEWS AND APPROVES EACH YEAR'S COMPENSATION RESULTS. IN ALL CASES, COMMITTEE MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST SURVEY TO ASSURE THE COMPENSATION COMMITTEE MEMBERS' INDEPENDENCE AND THIS IS UPDATED AT ANY MEETING AT WHICH DECISIONS ARE BEING MADE. STAFF (OTHER THAN THE SECRETARY TO THE BOARD) IS NOT IN THE ROOM DURING DELIBERATIONS OR VOTE INCLUDING EXECUTIVE SESSIONS, AND CONTEMPORANEOUS MINUTES ARE KEPT. WITH REGIONS HOSPITAL BOARD OF DIRECTORS INPUT, THE CEO AND PRESIDENT OF GHI CONDUCTS THE ANNUAL PERFORMANCE REVIEW AND, WITH REGION HOSPITAL'S BOARD APPROVAL, DETERMINES THE COMPENSATION OF THE REGIONS HOSPITAL PRESIDENT. THE CEO AND PRESIDENT OF GHI ALSO DETERMINES THE COMPENSATION OF OTHER GHI-EMPLOYED REGIONS OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS TO COMPENSATION IN EXCESS OF THE APPROVED RANGES ARE APPROVED BY THE COMMITTEE. THE REGIONS BOARD HAS DELEGATED TO THE REGIONS HOSPITAL PRESIDENT THE ACCOUNTABILITY TO CONDUCT ANNUAL PERFORMANCE REVIEWS AND DETERMINE THE COMPENSATION OF ALL REGIONS-EMPLOYED OFFICERS WITHIN THE COMPENSATION RANGES DETERMINED BY THE COMMITTEE. ANY EXCEPTIONS IN EXCESS OF THE APPROVED RANGES NEED TO BE APPROVED BY THE EXECUTIVE COMMITTEE. TOTAL COMPENSATION IS APPROPRIATELY DOCUMENTED ON THE FORM 990 AND ON THE EMPLOYEE'S W-2 FORM 990, PART VI, SECTION C, LINE 19 REGIONS HOSPITAL FINANCIAL STATEMENTS AND 990 RETURNS ARE MADE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION FROM REGIONS HOSPITAL OR HEALTHPARTNERS. REGIONS' ARTICLES OF INCORPORATION ARE AVAILABLE TO ANY PERSON WHO REQUESTS THE INFORMATION THROUGH THE MINNESOTA SECRETARY OF STATE'S OFFICE. 990, PART VII, SECT A, LN 1A, COL B AVERAGE HOURS - RELATED ORGANIZATIONS AVERAGE WEEKLY HOURS: THE COMPENSATED BOARD MEMBERS AND OFFICERS OF REGIONS HOSPITAL ARE EMPLOYED AND COMPENSATED BY REGIONS HOSPITAL, GHI OR PARK NICOLLET. THE COMPENSATED BOARD MEMBERS AND OFFICERS DEVOTE THEIR TIME TO MULTIPLE RELATED ORGANIZATIONS. REPORTED AVERAGE HOURS WORKED ARE BASED ON THEIR TOTAL COMPENSATION FROM ALL RELATED ORGANIZATIONS. FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST IN THE NET ASSETS OF REGIONS HOSPITAL FOUNDATION 472,474. HEALTHPARTNERS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411693838 HYBRID STAFF MODEL/NETWORK MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(4) N/A 0 HPI-RAMSEY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411793333 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 GROUP HEALTH PLAN INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410797853 STAFF MODEL HEALTH MAINTENANCE ORGANIZATION MN 501(C)(3) 170(B)(1) (A)(III) HEALTHPARTNERS INC 0 RH WISCONSIN INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 202287016 CORPORATE PLANNING AND OVERSIGHT WI 501(C)(3) 509(A)(3) TYPE I HPI - RAMSEY 0 HEALTHPARTNERS INSTITUTE 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411670163 HEALTHCARE EDUCATION AND RESEARCH MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS INC 0 CAPITOL VIEW TRANSITIONAL CARE CENTER 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 412011453 TRANSITIONAL CARE SERVICES, STEP DOWN FROM INPATIENT HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) HPI - RAMSEY 0 REGIONS HOSPITAL FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411888902 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH MN 501(C)(3) 170(B)(1) (A)(VI) HPI - RAMSEY 0 RHSC INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411891928 HEALTHCARE STAFFING AND INTENSE REHAB SERVICES MN 501(C)(3) 509(A)(3) TYPE II HEALTHPARTNERS INC 0 HUDSON HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390804125 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 HUDSON HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391279567 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH WI 501(C)(3) 170(B)(1) (A)(VI) HUDSON HOSPITAL INC 0 LAKEVIEW HEALTH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411386635 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH MN 501(C)(3) 170(B)(1) (A)(VI) LAKEVIEW HEALTH 0 LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 410811697 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) LAKEVIEW HEALTH 0 STILLWATER MEDICAL GROUP 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 830379473 CLINIC STAFF AND FACILITIES MN 501(C)(3) 509(A)(3) TYPE I LAKEVIEW HEALTH 0 LAKEVIEW HEALTH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 300221189 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(3) TYPE II HPI - RAMSEY 0 WESTFIELDS HOSPITAL INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390808442 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 WESTFIELDS HOSPITAL FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391770913 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH WI 501(C)(3) 170(B)(1) (A)(VI) WESTFIELDS HOSPITAL INC 0 PARK NICOLLET HEALTH SERVICES 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 363465840 CORPORATE PLANNING AND OVERSIGHT MN 501(C)(3) 509(A)(2) HEALTHPARTNERS INC 0 PARK NICOLLET FOUNDATION 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 237346465 SUPPORT TO RELATED ENTITIES AND COMMUNITY HEALTH MN 501(C)(3) 170(B)(1) (A)(VI) PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET METHODIST HOSPITAL 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410132080 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET HEALTH CARE PRODUCTS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 010638901 DURABLE MEDICAL EQUIPMENT , AND OTHER HEALTH CARE RETAIL SALES MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 0 PARK NICOLLET CLINIC 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 410834920 CLINIC SERVICES MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 PNMC HOLDINGS 6500 EXCELSIOR BLVD ST LOUIS PARK MN 55426 411741792 HEALTHCARE REAL ESTATE MN 501(C)(3) 509(A)(3) TYPE I PARK NICOLLET HEALTH SERVICES 0 AMERY REGIONAL MEDICAL CENTER INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 390908320 HOSPITAL WI 501(C)(3) 170(B)(1) (A)(III) RH-WISCONSIN INC 0 AMERY REGIONAL MEDICAL CENTER FOUNDATION INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 391726539 PROVIDE SUPPORT TO HOSPITAL AND COMMUNITY HEALTH WI 501(C)(3) 170(B)(1) (A)(VI) AMERY REGIONAL MEDICAL CENTER INC 0 HUTCHINSON HEALTH 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 841715908 HOSPITAL MN 501(C)(3) 170(B)(1) (A)(III) PARK NICOLLET HEALTH SERVICES 0 HUTCHINSON HEALTH FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 363317820 PROVIDE SUPPORT TO HOSPITAL MN 501(C)(3) 170(B)(1) (A)(VI) HUTCHINSON HEALTH 0 HEALTHPARTNERS RC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 844261122 HOSPITAL MN 501(C)(3) 170(B)(1)(A)(III) PARK NICOLLET HEALTH SERVICES 0 OLIVIA HOSPITAL & CLINIC FOUNDATION 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411839619 PROVIDE SUPPORT TO HOSPITAL MN 501(C)(3) 509(A)(3) TYPE I HEALTHPARTNERS RC 0 HEALTHPARTNERS ADMINISTRATORS INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411629390 THIRD PARTY ADMINISTRATOR MN HEALTHPARTNERS INC C 0 HEALTHPARTNERS ASSOCIATES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 522365151 MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C 0 HEALTHPARTNERS SERVICES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411683568 MEDICAL CLINIC STAFFING AND ASSET MANAGEMENT MN HEALTHPARTNERS ADMINISTRATORS INC C 0 HEALTHPARTNERS INSURANCE COMPANY 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 411683523 MEDICAL AND DENTAL INSURANCE MN HEALTHPARTNERS ADMINISTRATORS INC C 0 DENTAL SPECIALTIES INC 8170 33RD AVE S PO BOX 1309 MPLS MN 554401309 451297583 PROFESSIONAL DENTAL SERVICES MN HEALTHPARTNERS ADMINISTRATORS INC C 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 0 HEALTHPARTNERS INC L 134700206 CASH AMOUNT HEALTHPARTNERS INC - RENT P 1459468 CASH AMOUNT